Individual
ANDREW ROSS
Active
Individual
ANDREW ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036108890
IL
207RG0100X
Gastroenterology Physician
Primary
MD00047469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063575587
MONTANA DSHS
WA
05
—
8494122
—
WA
01
—
9244RO
BLUE SHIELD #
WA
01
—
P00417096
RAILROAD MC #
WA
01
—
US9730053
AETNA PCP PIN
WA
Enumeration date
12/18/2006
Last updated
11/16/2012
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