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Individual

MASEY MARIE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
417 N 11TH ST, IM RESIDENT ACC CLINIC, RICHMOND, VA 23298-5002
(804) 828-8786
(804) 828-5466
Mailing address
PO BOX 980509, IM: INTERNAL MEDICINE, RICHMOND, VA 23298-0509
(804) 828-9726

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101262711
VA
390200000X
Student in an Organized Health Care Education/Training Program
VA

Other

Enumeration date
05/16/2011
Last updated
09/11/2018
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