Individual
STEPHEN CRAIG ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 N NEW BALLAS RD, SUITE 240, SAINT LOUIS, MO 63141-6857
(314) 567-5100
(314) 567-3387
Mailing address
522 N NEW BALLAS RD, SUITE 240, SAINT LOUIS, MO 63141-6857
(314) 567-5100
(314) 567-3387
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
R9A31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201725603
—
MO
01
—
23560
BLUE CROSS BLUE SHIELD
MO
01
—
320023
UNITED HEALTH CARE
MO
01
—
5783152
AETNA
MO
01
—
A12739
PHCS
MO
Enumeration date
03/31/2006
Last updated
05/17/2012
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