Individual
HELEN R ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1890 E FLORENCE BLVD, SUITE 4, CASA GRANDE, AZ 85122-5642
(520) 374-2960
(520) 374-2961
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207N00000X
Dermatology Physician
Primary
34602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417695
—
AZ
Enumeration date
12/28/2006
Last updated
09/19/2013
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