Individual
MR. DAVID BERTRAND ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
369 EUCLID AVE, GREENWOOD, IN 46142-3613
(317) 881-2958
Mailing address
CMR 427, BOX 2221, VICENZA, VENETO APO A-E 09630
011390444583299
011390444718210
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1001247
GA
Other
Enumeration date
11/22/2005
Last updated
06/05/2013
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