Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 2020010620 | MO |
NPI | 1144634502 |
---|---|
Provider Name | Dr. Whitney Trotter Ross |
First Address | Saint Louis, MO 63108-1495 |
Second Address | Saint Louis, MO 63108-1495 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2014 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200086825 | (05) | MO |