Individual
DR. WANDA SAWYER ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
152 BURNETTS WAY, SUFFOLK, VA 23434-8166
(757) 539-6217
(757) 934-8535
Mailing address
152 BURNETTS WAY, SUFFOLK, VA 23434-8166
(757) 539-6217
(757) 934-8535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101036331
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6738290
—
VA
Enumeration date
03/20/2007
Last updated
02/02/2010
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