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Individual

MR. BART ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7702
(515) 224-5225
Mailing address
3012 56TH ST, DES MOINES, IA 50310-1201
(515) 334-5124

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00439
IA

Other

Enumeration date
06/23/2006
Last updated
07/08/2007
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