David D Rose, Md, Inc | |
1011 14th Ave Nw Ardmore OK 73401-1828 | |
(580) 223-5400 | |
Not Available |
Full Name | David D Rose, Md, Inc |
---|---|
Speciality | Internal Medicine |
Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
Authorized Official Name and Position | David D Rose (OWNER) |
Authorized Official Contact | 5802235400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David D Rose, Md, Inc 1011 14th Ave Nw Ardmore OK 73401-1828 Ph: (580) 223-5400 | David D Rose, Md, Inc 1011 14th Ave Nw Ardmore OK 73401-1828 Ph: (580) 223-5400 |
NPI Number | 1730297672 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730297672 | NPI | - | NPPES |
1487618815 | Other | OK | INDIVIDUAL NPI # |
7472 | Other | OK | OK7472 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7472 (Oklahoma) | Primary |
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