Individual
PATRICIA LYNN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
104 ORCHARD AVE, BRIDGEPORT, WV 26330-1736
(304) 842-8819
Mailing address
104 ORCHARD AVE, BRIDGEPORT, WV 26330-1736
(304) 842-8819
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
WV771
WV
Other
Enumeration date
01/24/2007
Last updated
05/02/2008
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