Individual
DARREL LAWRENCE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4300
(317) 621-4366
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01060645
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523111
ANTHEM BLUE CROSS
IN
01
—
01060645B
CSR
IN
05
—
200371400
—
IN
Enumeration date
10/04/2006
Last updated
11/27/2023
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