Individual
MR. TRACY WILLIAM ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
SOUTH 4TH STREET, DENVER, PA 17517-0800
(717) 336-1423
(717) 336-1418
Mailing address
5 OAK LANE, STEVENS, PA 17578-9706
(717) 336-5335
(717) 336-1418
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
—
PA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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