Individual
ERIC T GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 S DOBSON RD, CHANDLER, AZ 85224-5665
(480) 821-2838
(480) 821-9444
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 855-2224
(480) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
34036
AZ
2085R0001X
Radiation Oncology Physician
Primary
46201
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956815
—
AZ
01
—
Z237327
PTAN
AZ
Enumeration date
09/23/2005
Last updated
03/30/2020
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