Individual
THOMAS FREDRICK ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 E PALM LN, SUITE 175, PHOENIX, AZ 85004-4603
(602) 386-1100
(602) 386-1150
Mailing address
340 E PALM LN, SUITE 175, PHOENIX, AZ 85004-4603
(602) 386-1100
(602) 386-1150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13893
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
13893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060042674
RAILROAD MEDICARE
AZ
05
—
234047
—
AZ
Enumeration date
08/17/2005
Last updated
01/22/2013
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