Wild Rose Pediatrics LLC

NPI #1033896048 in Port Angeles, Washington

Provider Information

NPI Number: 1033896048
Entity Type: Organization
Organization Name: Wild Rose Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 30, 2023
Last Updated: Jun 30, 2023

Practice Location

Address: 629 E 8TH ST
City: Port Angeles
State: Washington
ZIP Code: 98362-6223
Phone: (360) 775-4640

Authorized Official

Name: CHRISTINE ROSE, MD
Title: OWNER
Phone: (306) 775-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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