Individual
DR. RAYMOND THOMAS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
930 SOUTH AVE, SUITE 4A, COLONIAL HEIGHTS, VA 23834-3621
(804) 524-2294
(804) 524-0016
Mailing address
930 SOUTH AVE, SUITE 4A, COLONIAL HEIGHTS, VA 23834-3621
(804) 524-2294
(804) 524-0016
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101038388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007385382
—
VA
01
—
027707
ANTHEM BCBS
VA
Enumeration date
02/23/2006
Last updated
02/09/2022
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