Courtney E Rose, D.O.

NPI #1265727457 in Jacksonville, Texas

Provider Information

NPI Number: 1265727457
Entity Type: Individual
Name: Courtney E Rose, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jun 15, 2011
Last Updated: Jul 30, 2012

Practice Location

Address: 203 NACOGDOCHES ST
Address 2: SUITE 275
City: Jacksonville
State: Texas
ZIP Code: 75766-2462
Phone: (309) 541-5472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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