Individual
MARK EVERETT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Mailing address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
34013
AZ
Other
Enumeration date
11/02/2005
Last updated
07/02/2019
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