Provider Demographics
NPI:1295741544
Name:ROSS, STEVEN ALAN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALAN
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 1:405 ANGLERS DR., P.O. BOX 882470
Mailing Address - Street 2:SUITE A
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-2470
Mailing Address - Country:US
Mailing Address - Phone:970-879-2327
Mailing Address - Fax:970-879-1972
Practice Address - Street 1:405 ANGLERS DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80488-2470
Practice Address - Country:US
Practice Address - Phone:970-879-2327
Practice Address - Fax:970-879-1972
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO#28354208000000X
CO28354208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01283548Medicaid