Individual
DR. SUSAN M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
370 E 9TH AVE, SUITE 205, SALT LAKE CITY, UT 84103-2877
(801) 408-6100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-6100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5756967-1205
UT
Other
Enumeration date
04/03/2007
Last updated
11/16/2021
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