| NPI | 1891802914 |
|---|---|
| Doing Business As | ST ROSE MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRUCE B WEDDELL CFO 620-786-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-07-11 |