E.b. Ross, Jr Md-Stephen D Goodwin, MD

NPI #1124246889 in Gretna, Louisiana

Provider Information

NPI Number: 1124246889
Entity Type: Organization
Organization Name: E.b. Ross, Jr Md-Stephen D Goodwin, MD
Primary Specialty: Otolaryngology
Enumeration Date: Apr 20, 2007
Last Updated: Mar 17, 2009

Practice Location

Address: 120 MEADOWCREST ST
Address 2: SUITE 200
City: Gretna
State: Louisiana
ZIP Code: 70056-5255
Phone: (504) 391-7650

Authorized Official

Name: DR. EDWIN B ROSS JR., M.D.
Title: PRESIDENT
Phone: (504) 391-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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