Luke Rosen, Do, Pllc

NPI #1184101073 in Moscow, Idaho

Provider Information

NPI Number: 1184101073
Entity Type: Organization
Organization Name: Luke Rosen, Do, Pllc
Primary Specialty: Preventive Medicine - Addiction Medicine
Enumeration Date: Jul 24, 2018
Last Updated: Sep 30, 2022

Practice Location

Address: 1174 ALTURAS DR UNIT 4B
City: Moscow
State: Idaho
ZIP Code: 83843-8341
Phone: (360) 828-8130

Authorized Official

Name: LUKE BILLMEYER ROSEN, DO
Title: OWNER
Phone: (360) 828-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Addiction Medicine — Addiction Medicine	2083A0300X	Primary
Psychiatry & Neurology - Addiction Medicine — Addiction Medicine	2084A0401X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X

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