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Individual

ELMO J ROSARIO

Active
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Individual

ELMO J ROSARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2375
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2375
DAKOTACARE
SD
01
4993467
WELLMARK
SD
05
6000633
SD
01
P00368653
RR MEDICARE
SD
Enumeration date
06/28/2006
Last updated
08/04/2011
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