NPI 1093133092

Jerome Rose, RT

Practitioner Radiologic Technologist Tuba City, AZ

Practice location

Address: 167 North Main Street, Tuba City, AZ 86045-0600
Phone: (928) 283-2501
Mailing address: PO Box 600, Tuba City, AZ 86045-0600

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 521689 (AZ)

Other Radiologic Technologist providers in Arizona →

Registry record

NPI: 1093133092
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2014
Record last updated: 7 Apr 2014

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.