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Search › Idaho › 208000000X

Hailey Rose, DO

NPI 1679702088 · on the registry since 2009

Practice

Address
6615 Comanche St
Kaniksu Health Services
Bonners Ferry, ID 83805
Phone
(208) 267-1718
Fax
(208) 267-9197
Organisation at this address
Boundary Regional Community Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho