Individual
MYRA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2289
ME
208M00000X
Hospitalist Physician
Primary
2289
ME
Other
Enumeration date
05/07/2009
Last updated
04/27/2017
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