EVAN M ROSS, DPM, Surgery, Foot & Ankle FORT DEFIANCE, AZ

Contact Information

EVAN M ROSS, DPM

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Phone: 928-729-8000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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

NPI Number	`1972913069`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	04/29/2014
Last updated	09/04/2025 - About 9 months ago
Sole proprietor ¹	No
Identifiers	KY License # 00448 OR License # DP198503 IN Medicaid 201394010 KY Medicaid 7100417980 KY Other 000001024410 ANTHEM KY Other 50111319 PASSPORT HEALTH PLAN KY Other P01673048 RAILROAD MEDICARE
Hospital affiliation(s)	ST CHARLES MEDICAL CENTER - BEND - (Acute Care) 2500 NE NEFF ROAD BEND, OR 97701

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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EVAN M ROSS, DPM – NPI #1972913069Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

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

Reviews for EVAN M ROSS

EVAN M ROSS, DPM – NPI #1972913069
Surgery, Foot & Ankle