Individual
MITCHELL JOSHUA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 E PALM LN, SUITE 175, PHOENIX, AZ 85004-4603
(602) 386-1100
(602) 386-1150
Mailing address
340 E PALM LN, SUITE 175, PHOENIX, AZ 85004-4603
(602) 386-1100
(602) 386-1150
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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