Individual
DR. PHILIP DAVID ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 GREEN VALLEY RD, GREENSBORO, NC 27408-7021
(336) 832-6873
Mailing address
PO BOX 13605, GREENSBORO, NC 27415-3605
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200300189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134WW
BCBS NC
NC
01
—
4053284
AETNA
NC
01
—
803468
PARTNERS MEDICARE CHOICE
NC
05
—
89134WW
—
NC
01
—
C5182
MEDCOST-
NC
Enumeration date
06/15/2006
Last updated
06/21/2012
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