IndividualActive
Mary Rose, MD
NPI 1114901469 · Radiation Oncology Physician · Santa Fe, NM
Provider details
- NPI number
- 1114901469
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- C43111 (CA)
Mailing address
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2016-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.