Individual
DR. MICHAEL ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 BRADLEY BLVD, TRAVIS AFB, CA 94535-1340
(707) 423-7899
Mailing address
124 BRADLEY BLVD, TRAVIS AFB, CA 94535-1340
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
PT 27865
CA
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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