Individual
MR. DONALD LEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-7062
Mailing address
32 PARK HAVEN DR, LITTLE ROCK, AR 72205-2141
(501) 539-8166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R45458
AR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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