Individual
BRIAN THOMAS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 585-3927
(801) 262-3069
Mailing address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 585-3927
(801) 262-3069
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12404247-1205
UT
207W00000X
Ophthalmology Physician
20810
AZ
Other
Enumeration date
02/09/2006
Last updated
07/03/2024
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