| Doctor Name: | DR. SCOTT JEFFREY ROSE |
| NPI Number: | 1043480858 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G039729 |
| Business Practice Address: | 4001 Highway 104 Ione, CA - 95640 |
| Business Phone Number: | 2092744911 |
| Business Fax Number: | |
| Mailing Address: | 5131 Keana Ct, FAIR OAKS |
| State: | CA |
| Postal Code: | 956285355 |
| Phone Number: | 9169667673 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2008 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0500X |
| License Number: | G039729 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |