The Rose Clinic For Plastic And Migraine Surgery in Provo - Specialist

The Rose Clinic For Plastic And Migraine Surgery - NPI 1093990210

The Rose Clinic For Plastic And Migraine Surgery is a Specialist in Provo, Utah. The Rose Clinic For Plastic And Migraine Surgery practices all healthcare services and medical treatments related to Specialist. The NPI Number for The Rose Clinic For Plastic And Migraine Surgery is 1093990210. The last update date is 2008-06-13.

The Rose Clinic For Plastic And Migraine Surgery's current location address is 320 River Park Dr, Provo, Utah. You can contact this provider via phone number 8013757673 and fax number 8013757679. The mailing address for The Rose Clinic For Plastic And Migraine Surgery is 320 River Park Dr, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Rose Clinic For Plastic And Migraine Surgery
Address 320 River Park Dr, Provo, Utah
Phone Number 8013757673
Fax Number 8013757679
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR/OWN
Authorized Official Name Rose G Kevin
Credentials M.D.
Telephone Number 8013757673

NPI Number Detail

NPI Number 1093990210
Provider Enumeration Date 2008-01-07
Last Updated Date 2008-06-13

Provider Mailing Address Detail

Address 320 River Park Dr
City Provo
State Utah (UT)
Post Code 846046060
Phone Number 8013757673
Fax Number 8013757679

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 5575028-1205
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
528431055001 UT --

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FAQs about The Rose Clinic For Plastic And Migraine Surgery

What is the unique identifier code issued to The Rose Clinic For Plastic And Migraine Surgery by the Centers for Medicare & Medicaid Services (CMS)?

The The Rose Clinic For Plastic And Migraine Surgery has been assigned the NPI (National Provider Identifier) 1093990210. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the The Rose Clinic For Plastic And Migraine Surgery's physical address?

The The Rose Clinic For Plastic And Migraine Surgery is physically located at 320 River Park Dr, in the city of Provo, UT, with the postal code 846046060.

What is the The Rose Clinic For Plastic And Migraine Surgery's area of specialization and corresponding taxonomy classification?

The The Rose Clinic For Plastic And Migraine Surgery's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did The Rose Clinic For Plastic And Migraine Surgery receive its 1093990210 assignment?

The The Rose Clinic For Plastic And Migraine Surgery was assigned its 1093990210 on 2008-01-07, which is the date when this unique identifier was issued to the organization.

As of what date were the The Rose Clinic For Plastic And Migraine Surgery's details last updated?

The information pertaining to the The Rose Clinic For Plastic And Migraine Surgery, including its address, specialty, and other details, was most recently updated on 2008-06-13.

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