Individual
RONALD WINES ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
91 COMMONWEALTH AVE, WEST MIFFLIN, PA 15122-2310
(412) 466-4859
Mailing address
179 ROSS RD, CANONSBURG, PA 15317-4851
(724) 941-6838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000703A
PA
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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