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Dr. David Matthew Ross

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NPI Number Detailed Information

Provider Information:

Name: Dr. David Matthew Ross
Gender: M
Provider License Number If Given: D6659

NPI Information:

NPI: 1063411585
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 1925 COMMERCIAL ST SE
Salem, OR 97302
Phone Number: 5033636892
Fax Number: 5033781487

Provider Business Practice Location Address:

Address: 1925 COMMERCIAL ST SE
Salem, OR 97302
Phone Number: 5033636892
Fax Number: 5033781487

Provider Taxonomy:

Primary: 1223G0001X
Secondary (if any):
State: OR

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