Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35.138775 | OH |
NPI | 1003348566 |
---|---|
Provider Name | Erica Ross |
First Address | Cincinnati, OH 45255-4614 |
Second Address | Batavia, OH 45103-1921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 03/11/2020 |