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Individual

DR. DAVID ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8259
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8259

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101243358
VA
208000000X
Pediatrics Physician
57.011975
OH

Other

Enumeration date
10/15/2006
Last updated
04/25/2018
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