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Anthony Max Rousselot, PA-C
Medical Physician Assistant in Arcata, California
NPI 1568460608

Anthony Max Rousselot is a Medical Physician Assistant based in Arcata, CA and is specialized in Medical. Anthony Max Rousselot practices in Arcata, CA and has the professional credentials of PA-C. The NPI Number for Anthony Max Rousselot is 1568460608 and holds a License No. PA13540 (California).

The current practice location address for Anthony Max Rousselot is 1600 Weeot Way, Arcata, CA and can be reached out via phone at 707-825-5010 and via fax at 707-825-6736.

Location: 1600 Weeot Way, Arcata, CA, 95521-4734
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Provider Profile Details
NPI Number
1568460608
Provider Name
Anthony Max Rousselot
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1600 Weeot Way, Arcata, CA, 95521-4734
Phone Number
707-825-5010
Fax Number
707-825-6736
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EN021Z 01 CA MEDICARE PART B - PTAN
institution
Provider Business Practice Location Address Details
Address
1600 Weeot Way
City
State
Zip
95521-4734
Phone Number
707-825-5010
Fax Number
707-825-6736
person
Provider Business Mailing Address Details
Address
1600 Weeot Way
City
State
Zip
95521-4734
Phone Number
707-825-5010
Fax Number
707-825-6736
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13540 (California)
Definition
Definition to come...
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