Individual
BARBRA A ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 TOYON AVE, BELVEDERE, CA 94920-2459
(650) 996-6692
(415) 435-6943
Mailing address
15 TOYON AVE, BELVEDERE, CA 94920-2459
(650) 996-6692
(415) 435-6943
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A53702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A537020
—
CA
01
—
A53702
STATE LICENSE
CA
Enumeration date
07/12/2006
Last updated
10/31/2008
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