# ROSS MEDICAL OFFICE, APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316063498
- **Authorized official:** DR. THERESA J. ROSS M.D. (PHYSICIAN)
- **Authorized official phone:** (318) 361-0581

## Contact information

- **Practice address:** 109 REGENCY PL, WEST MONROE, LA 71291-4453
- **Practice address phone:** (318) 361-0581
- **Mailing address:** 109 REGENCY PL, WEST MONROE, LA 71291-4453
- **Mailing address phone:** (318) 361-0581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 017867 | LA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020