AUDRA ROSE, PA

Obstetrics & Gynecology

Active Individual
NPI: 1487877619

Practice Address

3450 POTOMAC WAY
Idaho Falls, ID 83404

Phone: (208) 557-2900

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No TL403 (WY)
Obstetrics & Gynecology 207V00000X Yes M6628 (ID)

Frequently Asked Questions

NPI 1487877619 is the National Provider Identifier for AUDRA ROSE, PA, a Obstetrics & Gynecology provider located in Idaho Falls, ID. This NPI was enumerated on April 10, 2007.
AUDRA ROSE, PA practices at 3450 POTOMAC WAY, Idaho Falls, ID 83404.

Quick Facts

NPI
1487877619
Type
Individual
Enumerated
Apr 10, 2007
Last Updated
Dec 29, 2023

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