Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Rose Clinic for Plastic and Migraine Surgery

Organization Specialist · NPI 1093990210

The Rose Clinic for Plastic and Migraine Surgery is a Specialist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008

Practice location Address checks out

320 River Park Dr Ste 245
Provo, UT 84604-6060
Phone: (801) 375-7673
Fax: (801) 375-7679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5575028-1205 (UT)

Record details

NPI number1093990210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Rose — Doctor/Owner · (801) 375-7673
NPI enumeratedJanuary 7, 2008
Last updated in NPPESJune 13, 2008
Mailing address320 River Park Dr, Suite245, Provo, UT 84604-6060

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