Elizabeth Ann Rose DO

NPI 1205123734 - Pediatrics - 208000000X

NPI Details
NPI 1205123734
Gender Female
Enumeration Date 07/05/2011
Last Updated 10/09/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
320 E ARMSTRONG AVE
PEORIA IL, 61603, US
Phone (309) 680-7600
Fax (309) 495-8614
Business Location
2214 N UNIVERSITY ST
PEORIA IL, 61604, US
Phone (309) 680-7634
Fax (309) 676-5506
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036-134395
Remove 1205123734 NPI Number
 

According to our database, Elizabeth Ann Rose DO NPI is 1205123734, taxonomy code is 208000000X and license number is 036-134395, license state is located at Illinois. Elizabeth Ann Rose DO physically located at 320 E Armstrong Ave, Peoria IL, 61603. NPI Number Elizabeth Ann Rose DO has the Individual type.

Sponsored links

1205123734 NPI number is provided on an as is basis without warranty of any kind. 1205123734 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Ann Rose DO are for informational purposes only.