Individual
DR. WILLIAM D ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14620
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010490980001
—
PA
05
—
0040601000
—
WV
05
—
0721008
—
OH
05
—
7615066
—
NC
05
—
8542805
—
NJ
01
—
P00252376
RAILROAD MEDICARE
WV
Enumeration date
10/23/2006
Last updated
12/29/2007
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