Organization
ROBERT C KOLOSSEUS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA SANDOVAL (OFFICE MANAGER)
(505) 522-5666
Entity
Organization
Contact information
Practice address
755 S TELSHOR BLVD, STE. 102R, LAS CRUCES, NM 88011-4688
(505) 522-5666
(505) 522-5680
Mailing address
755 S TELSHOR BLVD, STE. 102R, LAS CRUCES, NM 88011-4688
(505) 522-5666
(505) 522-5680
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77444
—
NM
Enumeration date
06/15/2006
Last updated
02/19/2008
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