Individual
PHILIP JOHN ROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, MEDICAL SERVICE, 111, LOMA LINDA, CA 92357-1000
(909) 583-6094
Mailing address
11201 BENTON ST, MEDICAL SERVICE, 111, LOMA LINDA, CA 92357-1000
(909) 583-6094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G39270
CA
207R00000X
Internal Medicine Physician
MD 11957
OR
207R00000X
Internal Medicine Physician
MD 15863
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G39270
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD 11957
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD 15863
WA
207RP1001X
Pulmonary Disease Physician
Primary
G39270
CA
207RP1001X
Pulmonary Disease Physician
MD 11957
OR
207RP1001X
Pulmonary Disease Physician
MD 15863
WA
Other
Enumeration date
08/10/2006
Last updated
08/20/2007
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