| Roger P. Rose, Pllc | |
|
10440 E Riggs Rd Ste 203 Sun Lakes AZ 85248-7755 | |
| (480) 297-5400 | |
| Not Available |
| Full Name | Roger P. Rose, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10440 E Riggs Rd Ste 203, Sun Lakes, Arizona |
| Authorized Official Name and Position | Roger P Rose (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4802975400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger P. Rose, Pllc 10440 E Riggs Rd Ste 203 Sun Lakes AZ 85248-7755 Ph: (480) 297-5400 | Roger P. Rose, Pllc 10440 E Riggs Rd Ste 203 Sun Lakes AZ 85248-7755 Ph: (480) 297-5400 |
| NPI Number | 1427682996 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 02/24/2020 |
| Medicare PECOS PAC ID | 6800226515 |
|---|---|
| Medicare Enrollment ID | O20200421001621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427682996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger P Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184615734 PECOS PAC ID: 8224023726 Enrollment ID: I20060718000267 |
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