Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JODY GENE ROSE, DPM
Active Sole ProprietorDR. JODY GENE ROSE, DPM is a Podiatrist healthcare provider located in YUKON, Oklahoma. NPI 1184623001 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · YUKON, OK
Registration Details
- NPI Number
- 1184623001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2005 (21.045137956495 yrs)
- Last Updated
- Aug 21, 2023
- Licenses
-
204 (OK)204 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4400 GRANT BLVD STE 110YUKON, OK, 730990038Browse OK providers · Browse ZIP 73099
- Phone
- 4057331711
- Fax
- 4057333111
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.