Individual
DR. JERI KING ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1789
(806) 212-5750
Mailing address
PO BOX 51320, AMARILLO, TX 79159-1320
(682) 225-0902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N6125
TX
Other
Enumeration date
10/08/2010
Last updated
12/19/2021
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