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Dr. Theresa J Ross, MD
General Practice Physician in Monroe, Louisiana
NPI 1528072188

Theresa J Ross is a General Practice Physician based in Monroe, LA. Theresa J Ross practices in Monroe, LA and has the professional credentials of MD. The NPI Number for Theresa J Ross is 1528072188 and holds a License No. 017867 (Louisiana).

The current practice location address for Theresa J Ross is 112 Saint John St, Monroe, LA and can be reached out via phone at 318-387-5681 and via fax at 318-322-9957.

Location: 112 Saint John St, Monroe, LA, 71201-7319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528072188
Provider Name
Theresa J Ross
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
112 Saint John St, Monroe, LA, 71201-7319
Phone Number
318-387-5681
Fax Number
318-322-9957
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1342106 05 LA
institution
Provider Business Practice Location Address Details
Address
112 Saint John St
City
Monroe
State
Louisiana
Zip
71201-7322
Phone Number
318-387-5681
Fax Number
318-322-9957
person
Provider Business Mailing Address Details
Address
112 Saint John St
City
Monroe
State
Louisiana
Zip
71201-7322
Phone Number
318-387-5681
Fax Number
318-322-9957
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
017867 (Louisiana)
Definition
Definition to come...
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