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Individual
JEFFREY D. ROSS
Active
Individual
JEFFREY D. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11415
MS
208M00000X
Hospitalist Physician
Primary
11415
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124738
—
MS
01
—
4270448312B
BLUE CROSS
MS
01
—
MS11415M
MS STATE LICENSE
MS
Enumeration date
06/15/2006
Last updated
07/20/2010
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