Organization
ROSE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. ROSE MD (SOLE PROPRIETOR)
(620) 421-0808
Entity
Organization
Contact information
Practice address
1509 MAIN ST, PARSONS, KS 67357-3332
(620) 421-0808
(620) 421-0810
Mailing address
1509 MAIN ST, PARSONS, KS 67357-3332
(620) 421-0808
(620) 421-0810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-27344
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314830D
—
KS
Enumeration date
06/27/2007
Last updated
09/22/2009
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