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Individual

JUDY ANN ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28434
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28626
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35352
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
46954
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4856589-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
91-117
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00046954
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00039065
NM
Enumeration date
04/17/2007
Last updated
04/29/2021
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