Individual
DR. REBECCA JUDENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 JACK FOSTER DR, SHENANDOAH, IA 51601-4586
(712) 246-7485
(712) 246-7036
Mailing address
1 JACK FOSTER DR, SHENANDOAH, IA 51601-4586
(712) 246-7485
(712) 246-7036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
248293-1
NY
208600000X
Surgery Physician
Primary
38581
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00606
—
IA
05
—
10025458000
—
NE
01
—
260558
MIDLANDS
—
05
—
7728720
—
SD
01
—
P00805363
RR MEDICARE
IA
Enumeration date
02/17/2009
Last updated
10/13/2021
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