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Individual

ROBERT EDWARD ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2992

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7967096-1205
UT
207R00000X
Internal Medicine Physician
R8117
IA
208M00000X
Hospitalist Physician
Primary
796706-1205
UT

Other

Enumeration date
06/19/2007
Last updated
07/26/2017
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