Rustin Ronald Ross, M.D. Valid NPI

Individual provider · Dermatology Physician · Salt Lake City, UT

NPI

1164631461

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

373233-1205 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-22

Last updated

2012-12-05