Individual
JEFFREY V ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
109 HOSPITAL LN, AFTON, WY 83110
(307) 886-5665
(307) 886-5665
Mailing address
PO BOX 630, SMOOT, WY 83126-0630
(307) 886-5665
(307) 886-5665
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO24758
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306860531
—
WY
01
—
BSWY
315435
WY
Enumeration date
07/27/2006
Last updated
03/10/2008
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