Dr. Ross M. Canup M.D.
Family Medicine Physician in Maxwell Afb, AL(View on Map)
Full Name
Dr. Ross Michael Canup M.D.
NPI Number
1013367333
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/17/2016
Specialties
(Taxonomies)Licenses
State
Virginia
License Number
0101263009
Contact
Information
Purpose
Mailing
Location
Address
42D MEDICAL GROUP
42D MEDICAL GROUP
City
Maxwell Afb
Maxwell Afb
State
AL
AL
Postal Code
36112-6027
36112-6027
Country
US
US
Telephone Number
(334) 953-5200
(334) 953-5200
Identifiers
Identifier
0101263009
Identifier State
Unknown
Identifier Issuer
VIRGINIA MEDICAL LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/27/2023
Provider Address
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