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NPI Code Detail

MEDICARE: DANIEL ROSS

MEDICARE:   DANIEL  ROSS
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
1104100000XSocial Worker14237972-3503UT

General Provider Information

NPI Number : 1932885050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ROSS
Provider Business Mailing Address
First Line : 3725 W 4100 S STE 201
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84120-6490
Country : US
Telephone Number : 888-949-4864
Fax Number :
Provider Business Practice Location Address
First Line : 3809 W 6200 S
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84129-3725
Country : US
Telephone Number : 801-963-4360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2023
Last Update Date : 12/11/2025

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Directions to “ DANIEL ROSS ” Practice Location

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