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Individual

MR. ERIC C ROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
255 TIMBERCREEK CT, RENO, NV 89511-2748
(775) 343-9368
Mailing address
255 TIMBERCREEK CT, RENO, NV 89511-2748
(775) 343-9368

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
9241
NV
2085R0001X
Radiation Oncology Physician
Primary
ME55000
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11180529
CAQH
05
1407839103
NV
Enumeration date
11/28/2005
Last updated
08/06/2014
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