Individual provider · Type 1 NPI

David Bertrand Rose, P.A.

Surgical Physician Assistant · Greenwood, IN

NPI number 1477536530 Active

Practice location

369 Euclid Ave
Greenwood, IN 46142-3613

Mailing address

Cmr 427, Box 2221
Vicenza, VENETO APO AE 09630

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1001247 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1477536530

David Bertrand Rose, P.A.'s National Provider Identifier is 1477536530, issued on Nov 22, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenwood, IN. The record was last updated on Jun 5, 2013.