Individual
JULIA C ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ED.D.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-2663
(614) 293-2053
Mailing address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-2663
(614) 293-2053
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
0624
NH
363AS0400X
Surgical Physician Assistant
Primary
50003310
OH
Other
Enumeration date
02/08/2007
Last updated
11/05/2024
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