Healthcare Provider Details

I. General information

NPI: 1528749983
Provider Name (Legal Business Name): ANTHONY GARRETT ROWE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CREASON RD
CORNING AR
72422-1716
US

IV. Provider business mailing address

PO BOX 83
CORNING AR
72422-0083
US

V. Phone/Fax

Practice location:
  • Phone: 870-857-3399
  • Fax: 870-857-3301
Mailing address:
  • Phone: 870-857-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1409
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: