Individual
DOUGLAS J. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 932-3740
Mailing address
1091 APONO PL, HILO, HI 96720-2701
(423) 341-5473
(888) 960-2830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18758
HI
Other
Enumeration date
12/21/2005
Last updated
05/30/2025
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