Individual provider · Type 1 NPI
Douglas Jay Ross, PAC
Medical Physician Assistant · Virginia Beach, VA
NPI number
1255329900
Active
Practice location
351 Edwin Drive, Suite 102
Virginia Beach, VA 23462
Fax (757) 473-0919
Mailing address
860 Omni Blvd, Suite 303
Newport News, VA 23606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110840456 (VA) |
Medical Physician Assistant: Definition to come...
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About NPI 1255329900
Douglas Jay Ross, PAC's National Provider Identifier is 1255329900, issued on Oct 7, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on May 24, 2012.