William Landon Ross, PA-C
Physician Assistant in Fayetteville, AR. Individual provider (NPI-1).
NPI number1982172029
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1982172029
- Entity type
- Individual (NPI-1)
- Name
- William Landon Ross
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2018
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1303 | AR | Yes |
| 363AM0700X | Physician Assistant, Medical | 2973 | OK |
Practice location
1444 E Stearns St Ste 11Fayetteville, AR 72703-4969
Phone 479-718-7546 · Fax 479-966-4979
Mailing address
1444 E Stearns St Ste 11Fayetteville, AR 72703-4969
Phone 479-718-7546 · Fax 479-966-4979
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