IndividualActive
Anthony Rose, PA-C
NPI 1629003736 · Surgical Physician Assistant · Harrison, AR
Provider details
- NPI number
- 1629003736
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085002770 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
224 West Erie
Harrison, AR 72601
Phone: (870) 741-8289
Fax: (870) 741-0308
Approximate (ZIP-level) locationGet directions
Mailing address
224 W Erie Ave
Harrison, AR 72601-3539
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2010-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.