Organization
DAVID E ROSS, JR, MD,PC
Active
Other names
Primary Care Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL ROSS I M.D. (MEDICAL DIRECTOR)
(219) 886-4788
Entity
Organization
Contact information
Practice address
1619 W 5TH AVE, GARY, IN 46404-1506
(219) 886-4788
(219) 886-4106
Mailing address
PO BOX 4787, GARY, IN 46404-0787
(219) 886-4788
(219) 886-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212420A
—
IN
Enumeration date
03/02/2007
Last updated
05/17/2024
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