Individual
STEPHANIE ANNE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5703
(505) 820-2461
Mailing address
460 SAINT MICHAELS DR, SUITE 903, SANTA FE, NM 87505-7619
(505) 820-5703
(505) 820-2461
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2007-0482
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68405529
—
NM
Enumeration date
10/02/2006
Last updated
03/18/2008
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