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Organization
ROBERT J. ROSE, MD
Active
Organization
ROBERT J. ROSE, MD
Active
Other names
Mariposa Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J ROSE MD (OWNER)
(209) 966-3672
Entity
Organization
Contact information
Practice address
5300 HWY 49N, MARIPOSA, CA 95338
(209) 966-3672
(209) 966-5548
Mailing address
PO BOX 155, MARIPOSA, CA 95338-0155
(209) 966-3672
(209) 966-5548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53871F
—
CA
01
—
ZZZ01691Z
BLUE SHIELD PIN
CA
Enumeration date
04/01/2006
Last updated
04/01/2010
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