Individual
DR. WILLIAM K ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 S NATIONAL AVE STE 207, SPRINGFIELD, MO 65807-7315
(417) 269-9220
(417) 269-9229
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2208
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R2A48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201247624
—
MO
01
—
7968
BLUE CROSS OF MO
—
Enumeration date
09/27/2006
Last updated
11/08/2024
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