Organization
DAVID ROSE, M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD DAVID ROSE M.D. (PRESIDENT)
(618) 233-0798
Entity
Organization
Contact information
Practice address
5105 W MAIN ST, BELLEVILLE, IL 62226-4728
(618) 233-0798
(618) 233-5647
Mailing address
5105 W MAIN ST, BELLEVILLE, IL 62226-4728
(618) 233-0798
(618) 233-5647
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
09/25/2007
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