Individual
DR. BRANDON KEITH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Mailing address
3200 MACCORKLE SEAVE B16, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2642
WV
208M00000X
Hospitalist Physician
2642
WV
Other
Enumeration date
05/13/2011
Last updated
07/21/2022
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