Gross, Keith Mark
Gross, Keith Mark is an sole proprietor health care provider with primary practice located at 12550 Hesperia Rd 400, Victorville CA 92395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gross, Keith Mark can be contacted via phone (909) 335-8638.Contact Information
Primary practice address
12550 Hesperia Rd 400
Victorville CA 92395
Phone: (909) 335-8638
Fax: (909) 335-8644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 7006 | Nevada |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G63544 | California |
Profile Details
| NPI number | 1952357188 |
|---|---|
| LBN Legal business name | Gross, Keith Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 28th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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