Individual
DR. BENJAMIN REA ROSEBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(192) 875-7210
Mailing address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(192) 875-7210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39868
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2013
Last updated
07/05/2024
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