Ross, Mitchell P

Ross, Mitchell P is an individual health care provider with primary practice located at 350 W Thomas Rd Attn: Picu, Phoenix AZ 85013-4409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Ross, Mitchell P can be contacted via phone (602) 406-3241.

Contact Information

Primary practice address
350 W Thomas Rd Attn: Picu Phoenix AZ 85013-4409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 28504 Arizona

Profile Details

NPI number 1780657635
LBN Legal business name Ross, Mitchell P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780657635 NPPES
Arizona MEDICAID 524935

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