BRENT SHANE ROSE

LA JOLLA, CA
NPI1518250869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MA  248551)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MA  248551)
Enumeration Date2011-05-19
Last Update Date2016-04-04
Business Address
-- BRENT SHANE ROSE M.D.
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093-1503
Phone number: 619-341-3899
Mailing Address
-- BRENT SHANE ROSE M.D.
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093-1503
Phone number: 619-341-3899
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