Individual
HANNAH RUTH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-2533
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-2533
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-12639
AR
Other
Enumeration date
04/05/2018
Last updated
06/02/2023
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