Organization
ROSE FAMILY MEDICINE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE STERN MD (MEDICAL STAFF PRESIDENT)
(303) 584-7900
Entity
Organization
Contact information
Practice address
4545 E 9TH AVE STE # 10, DENVER, CO 80220
(303) 584-7900
Mailing address
4545 E 9TH AVE STE #10, DENVER, CO 80220
(303) 584-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023537
—
CO
01
—
DA7385
RAILROAD MEDICARE
CO
Enumeration date
08/09/2007
Last updated
01/29/2008
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