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1780690198
DOUGLAS S ROSS
PROVO, UT
NPI
1780690198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT 1757491205)
Enumeration Date
2006-07-31
Last Update Date
2010-06-15
Business Address
-- DOUGLAS S ROSS MD
1055 N 300 W #500
PROVO, UT 84604-3344
Phone number: 801-357-7291
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Mailing Address
-- DOUGLAS S ROSS MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7291
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