Individual
GREGORY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT(R)(CT)
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(915) 356-6201
Mailing address
1717 S DORSEY LN APT 1110, TEMPE, AZ 85281-7011
(915) 356-6201
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
17702
AZ
247100000X
Radiologic Technologist
438562
TX
247100000X
Radiologic Technologist
94665
TX
2471C3401X
Computed Tomography Radiologic Technologist
Primary
438562
TX
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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