Individual
ARIEL L. GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35959 BIG KNIFE LANE, PABLO, MT 59855
(406) 752-8433
(406) 756-6768
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
32693
MT
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-32693
MT
363AS0400X
Surgical Physician Assistant
156936
OR
Other
Enumeration date
06/21/2012
Last updated
10/16/2018
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