MEDICARE: ROBIN LAUNE ROSS M.D.

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
1	2084P0800X	Psychiatry Physician	47695	AZ

General Provider Information

NPI Number	:	1629101217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN LAUNE ROSS M.D.

Provider Business Mailing Address
First Line	:	1477 W COMMERCE CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-6016
Country	:	US
Telephone Number	:	520-792-3293
Fax Number	:	520-792-4336

Provider Business Practice Location Address
First Line	:	1501 W COMMERCE CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-6016
Country	:	US
Telephone Number	:	520-741-3180
Fax Number	:	520-807-2383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	02/09/2022

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