Individual
DR. CECILIA MERCEDES ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 412-7004
(816) 412-7562
Mailing address
14275 MIDWAY RD, STE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
04-34708
KS
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
2002030859
MO
207ZD0900X
Dermatopathology (Pathology) Physician
N4045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265689947
—
MO
05
—
200684050A
—
KS
Enumeration date
08/25/2008
Last updated
03/03/2015
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