Scott Jeffrey Rose M.D.

NPI 1043480858 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1043480858
Gender Male
Enumeration Date 03/07/2008
Last Updated 06/24/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
4001 HIGHWAY 104
IONE CA, 95640, US
Phone (209) 274-4911
Fax
Business Location
5131 KEANA CT
FAIR OAKS CA, 95628-5355, US
Phone (916) 966-7673
Fax
Toxanomy
Taxonomy Code 2083P0500X
License State California
License Number G039729
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According to our database, Dr. Scott Jeffrey Rose M.D. NPI is 1043480858, taxonomy code is 2083P0500X and license number is G039729, license state is located at California. Scott Jeffrey Rose M.D. physically located at 4001 Highway 104, Ione CA, 95640. NPI Number Scott Jeffrey Rose M.D. has the Individual type.

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1043480858 NPI number is provided on an as is basis without warranty of any kind. 1043480858 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Jeffrey Rose M.D. are for informational purposes only.