Individual
AUSTIN M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1711
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45759
AZ
207P00000X
Emergency Medicine Physician
Primary
MD60325597
WA
207P00000X
Emergency Medicine Physician
R71684
AZ
Other
Enumeration date
07/02/2009
Last updated
06/09/2013
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