Individual
DR. DAVID S. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-1093
(570) 808-7878
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD053608L
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MD053608L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017344800001
—
PA
Enumeration date
01/27/2006
Last updated
06/10/2020
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