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Individual
DR. ROSS ALBERT LEONARD
Active
Individual
DR. ROSS ALBERT LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00138
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008599000
BLUE CROSS ID
OR
01
—
0902467
WPS TRICARE ID
OR
01
—
14538XX
PREFERRED CARE ID
OR
05
—
229716
—
OR
01
—
H252901
PACIFIC SOURCE ID
OR
Enumeration date
05/11/2006
Last updated
10/02/2012
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