Individual
MR. JUSTIN STANLEY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 N. COLLEGE AVENUE, SLOT 100, FAYETTEVILLE, AR 72703
(479) 713-8310
Mailing address
1510 CARMONA CT, CONROE, TX 77301-2397
(909) 768-2899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
03/31/2025
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