Individual
MR. JOHN C GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2841 LEXINGTON AVE, ASHLAND, KY 41101-3009
(606) 324-2451
(606) 324-7123
Mailing address
2841 LEXINGTON AVE, ASHLAND, KY 41101-3009
(606) 324-2451
(606) 324-7123
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160061
—
OH
01
—
180021151
MEDICARE RAILROAD
KY
05
—
64280894
—
KY
Enumeration date
03/17/2006
Last updated
01/07/2014
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