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
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Other - First Name:
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Mailing Address - Street 1:2311 S CASINO DR STE A-3
Mailing Address - Street 2:
Mailing Address - City:LAUGHLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89029-1535
Mailing Address - Country:US
Mailing Address - Phone:702-508-0308
Mailing Address - Fax:702-508-9544
Practice Address - Street 1:2311 S CASINO DR STE A-3
Practice Address - Street 2:
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029-1535
Practice Address - Country:US
Practice Address - Phone:702-508-0308
Practice Address - Fax:702-508-9544
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2024-08-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant