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Individual

DR. ROBERT JAMES ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2215 E HUALAPAI MOUNTAIN RD, STE B, KINGMAN, AZ 86401-8324
(928) 718-0808
Mailing address
2215 E HUALAPAI MOUNTAIN RD, STE B, KINGMAN, AZ 86401-8324
(928) 718-0808

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
22143
CA
111N00000X
Chiropractor
Primary
5047
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0241740
BLUE CROSS/BLUE SHIELD AZ
AZ
Enumeration date
05/31/2005
Last updated
02/18/2026
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