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Individual

ANDREW ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811

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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