Tracy William Ross in Stevens - Sports Medicine

Tracy William Ross - NPI 1952318859

Tracy William Ross is a Sports Medicine in Stevens, Pennsylvania. Tracy William Ross practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tracy William Ross is 1952318859. The last update date is 2007-07-08.

Tracy William Ross's current location address is 5 Oak Lane, Stevens, Pennsylvania. You can contact this provider via phone number 7173365335 and fax number 7173361418. The mailing address for Tracy William Ross is 5 Oak Lane, Stevens, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy William Ross
Address 5 Oak Lane, Stevens, Pennsylvania
Phone Number 7173365335
Fax Number 7173361418
Sole Proprietor Y
Credentials ATC

NPI Number Detail

NPI Number 1952318859
Provider Enumeration Date 2006-08-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5 Oak Lane
City Stevens
State Pennsylvania (PA)
Post Code 175789706
Phone Number 7173365335
Fax Number 7173361418

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 2083S0010X
Definition:
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

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FAQs about Tracy William Ross

What is the unique provider identifier assigned to Tracy William Ross?

The Tracy William Ross has been issued the NPI (National Provider Identifier) 1952318859 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Tracy William Ross?

The Tracy William Ross is situated at 5 Oak Lane, in the city of Stevens, state of PA, with the zip code 175789706.

What is Tracy William Ross's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tracy William Ross's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2083S0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952318859 to Tracy William Ross?

The Centers for Medicare & Medicaid Services originally issued the 1952318859 to Tracy William Ross on 2006-08-02.

As of what date were the Tracy William Ross's details last updated?

The information pertaining to the Tracy William Ross, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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