Individual
PHILLIP RANDALL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
(513) 475-8690
(513) 475-8629
Mailing address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.137015
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
35137015
OH
390200000X
Student in an Organized Health Care Education/Training Program
4301114341
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/16/2013
Last updated
08/08/2019
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