Individual
DR. MARY HODGSON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5477 CAMPBELL LAKE ROAD, ANACORTES, WA 98221
(360) 293-2176
Mailing address
5477 CAMPBELL LAKE ROAD, ANACORTES, WA 98221
(360) 293-2176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WA1018514
—
WA
Enumeration date
08/21/2007
Last updated
08/21/2007
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