Individual
DR. REGINA ELIZABETH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37875
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407524
—
AZ
Enumeration date
02/01/2008
Last updated
01/23/2019
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