Organization
BILL S. ROSEN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE H HESCH RN (OFFICE MANAGER)
(406) 721-2344
Entity
Organization
Contact information
Practice address
2100 S HIGGINS AVE, MISSOULA, MT 59801-6761
(406) 721-2344
(406) 493-0666
Mailing address
PO BOX 5124, MISSOULA, MT 59806-5124
(406) 721-2344
(406) 493-0666
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MT7111
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G067516
STATE LICENSE
CA
01
—
MD27998
STATE LICENSE
OR
01
—
MT7111
STATE LICENSE
MT
Enumeration date
04/18/2008
Last updated
04/18/2008
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