Whalio Doctors

NPI 1447272323

Richard Sun Kyu Kwan Rose, MD

Practitioner Internal Medicine Physician Slc, UT

Practice location

Address
500 Foothill Dr, Slc, UT 84148-0001
Phone
(801) 582-1565
Fax
(801) 584-2576

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 5756670-1205 (UT)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD60136118 (WA)

Registry record

NPI
1447272323
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jul 2006
Record last updated
11 Jan 2012

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.