Individual
LARRY A. ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19550 E 39TH ST S, STE 400, INDEPENDENCE, MO 64057-2303
(816) 698-8290
(816) 698-8291
Mailing address
19550 E 39TH ST S, STE 400, INDEPENDENCE, MO 64057-2303
(816) 698-8290
(816) 698-8291
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-29598
KS
207RH0003X
Hematology & Oncology Physician
Primary
R7864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387530A
—
KS
05
—
201221611
—
MO
Enumeration date
01/31/2006
Last updated
04/12/2011
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