MARK TIMOTHY ROSS

PROVO, UT
NPI1710250253
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  177939-1205)
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
Dr. MARK TIMOTHY ROSS M.D.
3737 N 970 E
PROVO, UT 84604-5247
Phone number: 801-360-5774
Mailing Address
Dr. MARK TIMOTHY ROSS M.D.
3737 N 970 E
PROVO, UT 84604-5247
Phone number: 801-360-5774