Individual
ELISHA ANN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3597 E MONARCH SKY LN, MERIDIAN, ID 83646-1053
(702) 848-2256
(702) 485-6746
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1137
ID
Other
Enumeration date
12/03/2013
Last updated
12/28/2021
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