Provider Demographics
NPI:1316146129
Name:ROSS, JARON DUANE (MD)
Entity type:Individual
Prefix:
First Name:JARON
Middle Name:DUANE
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 POWELL ST
Mailing Address - Street 2:SUITE 940
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1826
Mailing Address - Country:US
Mailing Address - Phone:888-883-7362
Mailing Address - Fax:510-879-9100
Practice Address - Street 1:2100 POWELL ST
Practice Address - Street 2:SUITE 940
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1826
Practice Address - Country:US
Practice Address - Phone:888-883-7362
Practice Address - Fax:510-879-9100
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2009-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA99591207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine