Organization
REGINA ROSS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ROSS M.D. (PRESIDENT)
(928) 432-5154
Entity
Organization
Contact information
Practice address
1331 E RIM RD, PINETOP, AZ 85935-7495
(928) 432-5154
Mailing address
1331 E RIM RD, PINETOP, AZ 85935-7495
(928) 432-5154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37875
AZ
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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