Individual
ROMAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
2291 DUKE NORTH, DURHAM, NC 27705
(919) 684-5162
Mailing address
3442 BALFOUR W, DURHAM, NC 27713-1444
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005682
NC
Other
Enumeration date
07/20/2012
Last updated
11/14/2012
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