Individual
MRS. LAURA CATHERINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3800 S NATIONAL AVE, SUITE 160, SPRINGFIELD, MO 65807-5209
(417) 875-2627
(417) 875-3737
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
112324
MO
363A00000X
Physician Assistant
Primary
2016006715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689665218
—
MO
05
—
220039603
—
MO
Enumeration date
11/02/2005
Last updated
02/15/2024
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