Individual
EDWIN B. ROSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MEADOWCREST ST, SUITE 200, GRETNA, LA 70056-5255
(504) 391-7650
(504) 394-7344
Mailing address
120 MEADOWCREST ST, SUITE 200, GRETNA, LA 70056-5255
(504) 391-7650
(504) 394-7344
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
012759
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1146099
—
LA
Enumeration date
11/02/2005
Last updated
09/11/2008
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