Larry K. Rosebraugh in Burbank - Physician Assistant

Larry K. Rosebraugh - NPI 1811937105

Larry K. Rosebraugh is a Physician Assistant in Burbank, California. Larry K. Rosebraugh practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry K. Rosebraugh is 1811937105. The last update date is 2008-03-25.

Larry K. Rosebraugh's current location address is 501 S Buena Vista St, Burbank, California. You can contact this provider via phone number 8188435111 and fax number 4057494561. The mailing address for Larry K. Rosebraugh is 501 S Buena Vista St, Burbank, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry K. Rosebraugh
Address 501 S Buena Vista St, Burbank, California
Phone Number 8188435111
Fax Number 4057494561
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1811937105
Provider Enumeration Date 2006-06-07
Last Updated Date 2008-03-25

Provider Mailing Address Detail

Address 501 S Buena Vista St
City Burbank
State California (CA)
Post Code 915054809
Phone Number 8188435111
Fax Number 4057494561

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10166
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA10166 APPROVE CA --

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FAQs about Larry K. Rosebraugh

What is Larry K. Rosebraugh's area of expertise and its corresponding taxonomy classification?

The Larry K. Rosebraugh's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

When did Larry K. Rosebraugh receive its 1811937105 assignment?

The Larry K. Rosebraugh was assigned its 1811937105 on 2006-06-07, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811937105 to Larry K. Rosebraugh?

The Centers for Medicare & Medicaid Services originally issued the 1811937105 to Larry K. Rosebraugh on 2006-06-07.

As of what date were the details pertaining to Larry K. Rosebraugh last refreshed?

The information related to the Larry K. Rosebraugh, including its address, specialty, and other relevant details, was last updated on 2008-03-25.

When was the information regarding Larry K. Rosebraugh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Larry K. Rosebraugh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-25.

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