Individual
MOLLY K ROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1683 MAIN ST, WINDSOR, CO 80550-7921
(970) 400-7618
(970) 823-9007
Mailing address
3519 RICHMOND DR, FORT COLLINS, CO 80526-5995
(970) 449-0951
(970) 823-9004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006591
CO
Other
Enumeration date
05/03/2021
Last updated
02/18/2026
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