Individual
DR. MAJOR RYAN GROSS
Active
Individual
DR. MAJOR RYAN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032849
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136044
LABOR & INDUSTRIES
WA
01
—
1665GR
REGENCE
WA
05
—
8197154
—
WA
01
—
91114366510
KPS HEALTHPLANS
WA
01
—
91114366598310A010
TRICARE
WA
01
—
MD00032849
MD LICENSE CREDENTIAL NUMBER
WA
Enumeration date
10/04/2005
Last updated
04/21/2021
Update your record
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