Individual
MITCHELL JOSHUA ROSS
Active
Individual
MITCHELL JOSHUA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
32200
AZ
207RI0011X
Interventional Cardiology Physician
Primary
32200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864141
—
AZ
01
—
P00169271
RAILROAD MEDICARE
AZ
Enumeration date
08/16/2005
Last updated
04/22/2015
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