Provider Demographics
NPI:1124432372
Name:SPECHT, ROSE MARIE (MT(ASCP))
Entity type:Individual
Prefix:MS
First Name:ROSE
Middle Name:MARIE
Last Name:SPECHT
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:MISS
Other - First Name:ROSE
Other - Middle Name:MARIE
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2944 SHELLEY DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81503-2356
Mailing Address - Country:US
Mailing Address - Phone:970-250-7984
Mailing Address - Fax:
Practice Address - Street 1:2944 SHELLEY DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81503-2356
Practice Address - Country:US
Practice Address - Phone:970-250-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI115447246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist