Individual
NATHANIEL ROSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 734-2778
Mailing address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2019
Last updated
04/14/2021
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