Individual
DOUGLAS W ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1106 HAZEL LN, FARMINGTON, MO 63640-1999
(573) 756-6751
(573) 756-6807
Mailing address
PO BOX 957683, SAINT LOUIS, MO 63195-7683
(573) 756-6751
(573) 756-6807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
133621
MO
Other
Enumeration date
08/13/2009
Last updated
09/26/2025
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