Individual
JAMES A ROSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3617 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4405
(405) 835-2771
Mailing address
2550 N THUNDERBIRD CIR STE 303, MESA, AZ 85215-1219
(602) 288-6776
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2897
OK
207P00000X
Emergency Medicine Physician
34005489R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315975
BCBS
—
05
—
0886975
—
OH
01
—
P00100022
RR
—
Enumeration date
05/26/2006
Last updated
01/07/2022
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