Individual
JOHN K ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 W WASHINGTON ST # MS 07W374, INDIANAPOLIS, IN 46204-2243
(317) 232-4307
Mailing address
5565 W WHITELAND RD, BARGERSVILLE, IN 46106-9082
(317) 441-1855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28090521A
IN
183500000X
Pharmacist
Primary
26017696A
IN
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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