Individual
COLLIN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16058
CA
Other
Enumeration date
08/19/2006
Last updated
03/07/2023
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