Individual
DR. ROBERT J ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9405 N NEWPORT HWY, SPOKANE, WA 99218-1242
(509) 484-6000
Mailing address
PO BOX 28780, SPOKANE, WA 99228-8780
(509) 484-6000
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD00017397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331206
—
WA
Enumeration date
08/25/2006
Last updated
10/20/2010
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