Individual
DR. RANDALL E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
CO33497
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01334978
—
CO
01
—
1526353
UMWA
—
01
—
6640
BCBS
CO
01
—
841409708002
RMHMO
—
01
—
CO33497
RR MEDICARE
CO
01
—
P00175799
RR PIN
—
Enumeration date
12/04/2006
Last updated
05/19/2011
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