Individual
DR. JOHN ADOLPH BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
UNIVERSITY MEDICAL ASSOCIATES INC., 2ND FLOOR PARKS HALL, ATHENS, OH 45701
(740) 593-2516
Mailing address
OHIO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE, 204 GROSVENOR HALL, ATHENS, OH 45701
(740) 593-9350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003304B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487754
—
OH
Enumeration date
12/19/2006
Last updated
07/08/2007
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