Individual
MR. VINCENT JOHN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0028262
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109643500
—
WY
05
—
34922539
—
CO
01
—
P00628876
RR MEDICARE
CO
Enumeration date
10/23/2006
Last updated
12/16/2019
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