Individual
BENJAMIN H ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
3570 N. TIMPVIEW DR., PROVO, UT 84604
(801) 221-9720
Mailing address
439 N 1040 E, OREM, UT 84097-8281
(801) 225-1798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5471928-4810
UT
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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