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Individual

DENNIS CHARLES ROSS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP, CANTON, OH 44710
(330) 363-7462
(330) 363-7679
Mailing address
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP, CANTON, OH 44710
(330) 363-7462
(330) 363-7679

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN168079
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0793253
OH
Enumeration date
05/10/2006
Last updated
07/08/2007
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