Individual
LINDA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 RIVERGATE UNIT 212, DURANGO, CO 81301
(970) 259-2202
(970) 259-2837
Mailing address
575 RIVERGATE UNIT 212, DURANGO, CO 81301-7488
(970) 259-2202
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D63330
MD
207W00000X
Ophthalmology Physician
Primary
DR0061431
CO
207W00000X
Ophthalmology Physician
MD2007-0035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408203600
—
MD
Enumeration date
06/29/2006
Last updated
12/03/2018
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