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Jeremy Ross
NPI 1093178006 · on the registry since 2016
Practice
- Address
- 11582 C St
Joint Base Lewis-Mcchord, WA 98433 - Phone
- (253) 966-7574
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington