Individual
GARY B. ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 WALNUT STREET, SUITE 211, BOULDER, CO 80302
(303) 546-9412
(970) 221-3730
Mailing address
PO BOX 273336, FORT COLLINS, CO 80527-3336
(303) 444-3443
(970) 221-3730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27299
CO
Other
Enumeration date
10/03/2006
Last updated
11/11/2020
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