Hailey J Rose, DO

NPI #1679702088 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1679702088
Entity Type: Individual
Name: Hailey J Rose, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Jul 7, 2009
Last Updated: Sep 14, 2012

Practice Location

Address: 6615 COMANCHE ST
Address 2: KANIKSU HEALTH SERVICES
City: Bonners Ferry
State: Idaho
ZIP Code: 83805
Phone: (208) 267-1718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

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