MEDICARE: DR. MARK ANTHONY ROSALES DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0608	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1861453953	OTHER		NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	AZ0195640	OTHER	AZ	BC/BS ID#
4	Z118265	OTHER		PTAN

General Provider Information

NPI Number	:	1861453953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ANTHONY ROSALES DPM

Provider Business Mailing Address
First Line	:	421 N HUMPHREYS ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-4531
Country	:	US
Telephone Number	:	928-774-9325
Fax Number	:	888-464-1135

Provider Business Practice Location Address
First Line	:	421 N HUMPHREYS ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-4531
Country	:	US
Telephone Number	:	928-774-9325
Fax Number	:	888-464-1135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	02/11/2016

Similar Medicare Providers

1790249464 — MRS. KELLY MARIE O'DONNELL LCSW
Practice Location Address:

421 N HUMPHREYS ST
FLAGSTAFF, AZ
86001-4531

Practice Phone: 928-233-8796
Practice Fax:

1043390479 — TAMI LORRAINE YOUNG PHD
Practice Location Address:

421 N HUMPHREYS ST
FLAGSTAFF, AZ
86001-4531

Practice Phone: 928-482-2323
Practice Fax:

1447464698 — HUMPHREYS STREET CHIROPRACTIC
Practice Location Address:

421 N HUMPHREYS ST
FLAGSTAFF, AZ
86001-4531

Practice Phone: 928-774-6601
Practice Fax: 928-774-2193

1952596991 — ANTHONY ROSALES, DPM, PC
Practice Location Address:

421 N HUMPHREYS ST
FLAGSTAFF, AZ
86001-4531

Practice Phone: 928-774-4825
Practice Fax: 888-464-1135

1750794731 — DR. MICHAEL JAMES DRUSCHEL MD
Practice Location Address:

1600 W UNIVERSITY AVE STE 112
FLAGSTAFF, AZ
86001-3154

Practice Phone: 928-223-4823
Practice Fax: 202-381-9567

1205763687 — WHITLEY HARBISON KLOEBLEN
Practice Location Address:

1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118

Practice Phone: 928-779-3366
Practice Fax:

Directions to “ DR. MARK ANTHONY ROSALES DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.