Individual
EDWARD ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1127 UNIVERSITY BLVD SE, ALBUQUERQUE, NM 87102
(505) 272-5200
(505) 272-5750
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
84-107
NM
Other
Enumeration date
08/01/2006
Last updated
05/15/2012
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