Dr. Jason Porter Ross, DO
Family Medicine in Wright Patterson Afb, OH. Individual provider (NPI-1).
NPI number1013541069
StatusActive
Last updated in NPPESMar 17, 2024
Details
- NPI
- 1013541069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Porter Ross
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2020
- Certification date
- Mar 17, 2024
- Last updated
- Mar 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 34.016169 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529
Phone 937-522-2778 · Fax 240-660-5804
Mailing address
4881 Sugar Maple DrWpafb, OH 45433-5529
Phone 937-522-2778 · Fax 937-656-1843
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All 11 Family Medicine Physician providers in Wright Patterson Afb · All 397 providers in Wright Patterson Afb
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