Individual
DR. DHARMA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
54699 HILLSIDE RD, ST IGNATIUS, MT 59865-8915
(406) 745-0845
(833) 918-2217
Mailing address
54699 HILLSIDE RD, ST IGNATIUS, MT 59865-8915
(406) 745-0845
(406) 204-3238
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02001899
IN
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MED-PHYS-LIC-53457
MT
207Q00000X
Family Medicine Physician
02001899
IN
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-53457
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518902881
BCBS MONTANA IDENTIFIER
—
05
—
1518902881
—
MT
05
—
1902842883
—
MT
05
—
200231530
—
IN
05
—
200977140A
—
IN
Enumeration date
06/21/2006
Last updated
02/10/2024
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