Individual
DR. JOHN W. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
(801) 584-5654
Mailing address
PO BOX 413027, SALT LAKE CITY, UT 84141-3027
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
173744-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
173744-1205
UT
Other
Enumeration date
06/07/2006
Last updated
11/16/2021
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