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Individual

DR. JOHN ST. ROSE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
1050 E UNIVERSITY DR STE 10, MESA, AZ 85203-8046
(480) 712-7099
Mailing address
1050 E UNIVERSITY DR STE 10, MESA, AZ 85203-8046
(480) 712-7099
(480) 712-7099

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
870274
AL
175F00000X
Naturopath
Primary
171624
AZ

Other

Enumeration date
04/16/2018
Last updated
10/02/2019
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