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NPI Code Detail

MEDICARE: MICHAEL ALAN ROSS PAC

MEDICARE: MICHAEL ALAN ROSS PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA14386CA

General Provider Information

NPI Number : 1093748923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ALAN ROSS PAC
Provider Business Mailing Address
First Line : 40 WEGIS AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93314-7878
Country : US
Telephone Number : 661-589-8891
Fax Number :
Provider Business Practice Location Address
First Line : 1018 21ST ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-4709
Country : US
Telephone Number : 661-861-9967
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 06/30/2025

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Directions to “ MICHAEL ALAN ROSS PAC” Practice Location

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