Individual
CECILE S ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29177
CO
207RP1001X
Pulmonary Disease Physician
29177
CO
2083X0100X
Occupational Medicine Physician
Primary
29177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01291772
—
CO
Enumeration date
11/07/2006
Last updated
03/17/2021
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