Individual
PREETHA S ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 883-6236
(986) 600-4565
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 882-4511
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
M-16797
ID
Other
Enumeration date
08/14/2009
Last updated
08/02/2024
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