Individual
WILLIAM DOUGLAS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5151 MORNING SUN RD, STE A, OXFORD, OH 45056-9545
(513) 524-5330
(513) 524-5337
Mailing address
PO BOX 637783, CINCINNATI, OH 45263-7783
(513) 853-4749
(513) 853-4740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34-005758
OH
208VP0000X
Pain Medicine Physician
34-005758
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
34-005758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931899
—
OH
05
—
200142750
—
IN
01
—
P00341008
RR MEDICARE
OH
Enumeration date
01/11/2006
Last updated
08/05/2015
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