Individual
DR. MITCHELL P ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, ATTN: PICU, PHOENIX, AZ 85013-4409
(602) 406-3241
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
28504
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524935
—
AZ
Enumeration date
02/10/2006
Last updated
07/08/2007
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