Individual
COLE WESTON ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1723 BROADWAY ST STE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 332-7746
Mailing address
1637 THEMIS ST, CAPE GIRARDEAU, MO 63701-5221
(573) 803-8346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023021732
MO
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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