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Individual
MR. VINCENT JOHN ROSS
Active
Individual
MR. VINCENT JOHN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0028262
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109643500
—
WY
05
—
34922539
—
CO
01
—
P00628876
RR MEDICARE
CO
Enumeration date
10/23/2006
Last updated
12/16/2019
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