| Doctor Name: | ROSANNE DOVER |
| NPI Number: | 1124174362 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R0032466 |
| Business Practice Address: | 3851 Tinker Diagonal St Del City, OK - 731152109 |
| Business Phone Number: | 4056771129 |
| Business Fax Number: | 4056778991 |
| Mailing Address: | 500 Nw 40th St, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731187042 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R0032466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |