DR. John St. Rose JR., ND

NPI #1053808162 in Mesa, Arizona

Provider Information

NPI Number: 1053808162
Entity Type: Individual
Name: DR. John St. Rose JR., ND
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Credential: ND
Enumeration Date: Apr 16, 2018
Last Updated: Oct 2, 2019

Practice Location

Address: 1050 E UNIVERSITY DR STE 10
City: Mesa
State: Arizona
ZIP Code: 85203-8046
Phone: (480) 712-7099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Renal — Nutrition, Renal	133VN1005X
Naturopath	175F00000X	Primary

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