Individual provider · Type 1 NPI
Thomas Davis Rose Sr., PA-C
Medical Physician Assistant · Chesapeake, VA
NPI number
1154670362
Active
Practice location
605 Lord Nelson Ct
Chesapeake, VA 23320-7912
Fax (757) 549-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0001884 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1154670362
Thomas Davis Rose Sr., PA-C's National Provider Identifier is 1154670362, issued on Sep 4, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chesapeake, VA. The record was last updated on Sep 4, 2012.