Individual
JOSEPH G ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9600 LILE DR, SUITE 100, LITTLE ROCK, AR 72205-6326
(501) 224-5220
(501) 228-9828
Mailing address
701 N UNIVERSITY, SUITE 201, LITTLE ROCK, AR 72205
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-3245
AR
208000000X
Pediatrics Physician
E-3245
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02110032800
QUALCHOICE
AR
01
—
04-00306
UNITED HEALTHCARE
AR
Enumeration date
07/19/2005
Last updated
04/18/2008
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