Charles J Ross, IDMT

NPI #1699919795 in Fayetteville, North Carolina

Provider Information

NPI Number: 1699919795
Entity Type: Individual
Name: Charles J Ross, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 5809 IVANHOE CT APT 18
City: Fayetteville
State: North Carolina
ZIP Code: 28314-4461
Phone: (253) 381-7108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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