Individual
ROBERT EUGENE ROSE
Active
Individual
ROBERT EUGENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R0044766
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
44766
OK
Other
Enumeration date
06/23/2005
Last updated
01/30/2020
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