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Contact Information

BLAINE M ROSS, MD
2735 SILVER CREEK ROAD
BULLHEAD CITY, AZ86442
 Phone: 928-763-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for BLAINE M ROSS · (Male)

NPI # 1629018197
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 32191
  • AZ Other 986789 AHCCCS
  • AZ Other AZ0156280 BCBS OF ARIZONA
  • AZ Other P00376172 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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