Individual
GREGORY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 625, NORTH KANSAS CITY, MO 64116-3278
(816) 455-3990
(816) 455-5351
Mailing address
522 LOCUST LN UNIT 103, KANSAS CITY, MO 64106-1347
(503) 780-3603
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
MO
Other
Enumeration date
08/08/2023
Last updated
10/06/2023
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