Individual
MICHAEL TODD ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12701 HINSON RD, LITTLE ROCK, AR 72212-3301
(501) 626-1554
Mailing address
12509 PLEASANT FOREST DR, LITTLE ROCK, AR 72212-2214
(501) 626-1554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT426
AR
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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