Rose Wellness Center LLC

NPI #1215266499 in Prague, Oklahoma

Provider Information

NPI Number: 1215266499
Entity Type: Organization
Organization Name: Rose Wellness Center LLC
Primary Specialty: Clinic/Center
Enumeration Date: Dec 16, 2009
Last Updated: Dec 16, 2009

Practice Location

Address: 3204 NBU
Address 2: 1022 W MAIN ST
City: Prague
State: Oklahoma
ZIP Code: 74864-4516
Phone: (405) 567-1169

Authorized Official

Name: MIRIAM SHARON ROSE, M.D.
Title: MANAGING MEMBER
Phone: (405) 567-1169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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