Individual
DONALD RICHARD ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3304 E BAY DR NW, GIG HARBOR, WA 98335-7649
(125) 385-1567
Mailing address
3304 E BAY DR NW, GIG HARBOR, WA 98335-7649
(125) 385-1567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00017941
WA
174400000X
Specialist
G31700
CA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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