Individual
DR. FERNANDO ROSSO
Active
Individual
DR. FERNANDO ROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-22574
KS
2084P0800X
Psychiatry Physician
110209
MO
2084P0800X
Psychiatry Physician
20902
AZ
2084P0800X
Psychiatry Physician
39074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23131012
BLUE SHIELD OF KC
MO
01
—
706211
BLUE SHIELD OF KANSAS
KS
Enumeration date
07/25/2006
Last updated
05/17/2011
Update your record
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