NPI 1003837675

Jack C Rose

Practitioner Neurology Physician San Francisco, CA

Practice location

Address: 2100 Webster St 4th Floor, San Francisco, CA 94115-2373
Phone: (415) 600-5760
Mailing address: PO Box 254947, Sacramento, CA 95865-4947

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence A88152 (CA)

Other Psychiatry & Neurology providers in California →

Registry record

NPI: 1003837675
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 26 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.