NPI 1063944247
David Rose
Practice location
- Address
- 2 Merchants Dr, Hillsboro, MO 63050-5212
- Phone
- (636) 789-2686
- Mailing address
- 304 N 3rd St PO Box 920, De Soto, MO 63020-1505
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1063944247
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Mar 2017
- Record last updated
- 2 Aug 2017
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.