Provider Demographics
NPI:1164060216
Name:ROSETT, HUGH ANDREW DAVID COOPER (PA-C)
Entity Type:Individual
Prefix:
First Name:HUGH ANDREW
Middle Name:DAVID COOPER
Last Name:ROSETT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2114 RHONDA TER
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-0653
Mailing Address - Country:US
Mailing Address - Phone:702-768-9060
Mailing Address - Fax:
Practice Address - Street 1:2114 RHONDA TER
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-0653
Practice Address - Country:US
Practice Address - Phone:702-768-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant