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Individual

DR. ROBERT DANIEL ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., D.A.B.C.O.

Contact information

Practice address
523 1ST AVE NW, EPHRATA, WA 98823-1501
(509) 754-3442
(509) 754-0124
Mailing address
523 1ST AVE NW, EPHRATA, WA 98823-1501
(509) 754-3442
(509) 754-0124

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001229
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012706
WA
01
35471
LABOR & INDUSTRIES
WA
01
ROSSR1168461326
PREMERA BLUE CROSS
WA
01
WAR387
STERLING OPTION 1
WA
Enumeration date
10/25/2006
Last updated
07/08/2007
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