Individual provider · Type 1 NPI

Audra J. Rose, PA

Obstetrics & Gynecology Physician · Idaho Falls, ID

NPI number 1487877619 Active

Practice location

3450 Potomac Way
Idaho Falls, ID 83404-7407

Call (208) 557-2900 Map

Fax (208) 557-2910

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XTL403 (WY)
Obstetrics & Gynecology Physician Primary 207V00000XM6628 (ID)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1487877619

Audra J. Rose, PA's National Provider Identifier is 1487877619, issued on Apr 10, 2007. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 29, 2023.