Individual provider · Type 1 NPI
Theresa J. Ross, MD
General Practice Physician · Monroe, LA
NPI number
1528072188
Active
Practice location
112 Saint John St
Monroe, LA 71201-7322
Fax (318) 322-9957
Mailing address
130 Desiard St, Suite 355
Monroe, LA 71201-7319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 017867 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
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About NPI 1528072188
Theresa J. Ross, MD's National Provider Identifier is 1528072188, issued on Jul 28, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Monroe, LA. The record was last updated on Jun 12, 2019.