Individual
MS. AVA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 S OAK AVE STE 2, SAN LUIS, AZ 85336-0756
(928) 662-0414
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50321
AZ
Other
Enumeration date
02/23/2012
Last updated
05/28/2021
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