The Rose Clinic for Plastic and Migraine Surgery
The Rose Clinic for Plastic and Migraine Surgery provides Specialist services in Provo, Utah. Licensed in Utah. Registered with an NPI since 2008.
- Licensed in
- UT
- In the registry since
- 2008
Practice location Address checks out
320 River Park Dr Ste 245Provo, UT 84604-6060 Not confirmed with CMS for 18 years — call before visiting
Phone: (801) 375-7673
Fax: (801) 375-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 5575028-1205 (UT) |
|---|
Record details
| NPI number | 1093990210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Rose — Doctor/Owner · (801) 375-7673 |
| NPI enumerated | January 7, 2008 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 320 River Park Dr, Suite245, Provo, UT 84604-6060 |
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