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Individual

DEAN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2827 FORT MISSOULA RD, CMC REHABILITATION PHYSICIANS, MISSOULA, MT 59804
(406) 327-4430
Mailing address
PO BOX 16900, MISSOULA, MT 59808
(406) 327-4620
(406) 549-5928

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4793
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000016920
BCBS
MT
05
0048997
MT
Enumeration date
10/02/2006
Last updated
12/10/2008
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