DESTINY ROSE, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1588264402
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 4412 (OK) |
Frequently Asked Questions
NPI 1588264402 is the National Provider Identifier for DESTINY ROSE, PA-C, a Physician Assistant - Medical provider located in Edmond, OK. This NPI was enumerated on October 29, 2020.
DESTINY ROSE, PA-C practices at 2000 E 15TH ST STE 400A, Edmond, OK 73013.
Quick Facts
- NPI
- 1588264402
- Type
- Individual
- Enumerated
- Oct 29, 2020
- Last Updated
- Jun 23, 2025
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