Individual
MARK J ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 PALOMINO LN STE 110, LAS VEGAS, NV 89106-4892
(702) 474-7200
(702) 474-0009
Mailing address
2020 PALOMINO LN STE 110, LAS VEGAS, NV 89106-4892
(702) 474-7200
(702) 474-0009
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6850
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019424
—
NV
Enumeration date
10/19/2006
Last updated
01/28/2019
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