Search › West Virginia › 174400000X
Autumn Rose
NPI 1841105228 · on the registry since 2026 · sole proprietor
Practice
- Address
- Po Box 220
Bridgeport, WV 26330 - Phone
- (304) 933-3073
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Sex
- Male
- Record last updated
- 2026-08-18
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 West Virginia