MR. Richard W. Ross, PA
NPI #1225148885 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1225148885
- Entity Type
- Individual
- Name
- MR. Richard W. Ross, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 510 E STONER AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4243
- Phone
- (318) 221-8411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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