Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL J GROSS, MD
ActiveRUSSELL J GROSS, MD is a Vascular Surgery healthcare provider located in COVINGTON, Tennessee. NPI 1548228588 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · COVINGTON, TN
Registration Details
- NPI Number
- 1548228588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.315768525214 yrs)
- Last Updated
- Jan 29, 2014
- Licenses
-
A31869 (CA)40003 (TN)31869 (CA)
Practice Information
- Address
-
1995 HIGHWAY 51 SSUITE 203COVINGTON, TN, 380193635Browse TN providers · Browse ZIP 38019
- Phone
- 9014755422
- Fax
- 9014755595
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.