Organization
WILD ROSE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ROSE MD (OWNER)
(306) 775-4640
Entity
Organization
Contact information
Practice address
629 E 8TH ST, PORT ANGELES, WA 98362-6223
(360) 775-4640
Mailing address
629 E 8TH ST, PORT ANGELES, WA 98362-6223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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