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Individual

DR. STEVE E ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
8803 S. 101ST E. AVE, SUITE 360, TULSA, OK 74133
(918) 582-0001
(918) 582-0003
Mailing address
PO BOX 26303, OKLAHOMA CITY, OK 73126-0303
(918) 582-0001
(918) 582-0003

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2581
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100178730A
OK
01
223073800
DOL
05
2450196903
KS
Enumeration date
09/12/2006
Last updated
04/16/2020
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