Organization
INLAND EMPIRE DERMATOLOGY, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L ROSS D.O. (PHYSICIAN)
(509) 921-7884
Entity
Organization
Contact information
Practice address
312 N MULLAN RD, SPOKANE VALLEY, WA 99206-6845
(509) 921-7884
(509) 921-8038
Mailing address
312 N MULLAN RD, SPOKANE VALLEY, WA 99206-6845
(509) 921-7884
(509) 921-8038
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
OP00001816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3850RO
ASURIS
WA
01
—
7853434
AETNA
—
Enumeration date
08/24/2006
Last updated
05/02/2014
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