Individual
AMBER J ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5556
(206) 616-3889
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 750-5514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
149992
AK
Other
Enumeration date
08/27/2018
Last updated
11/20/2019
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