Individual
TOBY R ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 E AGUA DEL ORO, CASA GRANDE, AZ 85222-2643
(520) 879-9703
Mailing address
605 E AGUA DEL ORO, CASA GRANDE, AZ 85222-2643
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9023
AHCCCS PROVIDER ID
AZ
Enumeration date
03/23/2007
Last updated
07/08/2007
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