Individual
DR. MARY HASBAH ROESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 S SAINT FRANCIS DR, SUITE C, SANTA FE, NM 87501-2458
(505) 988-5667
(505) 820-1632
Mailing address
103 S SAINT FRANCIS DR, SUITE C, SANTA FE, NM 87501-2458
(505) 988-5667
(505) 820-1632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
89-288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992782650
—
NM
Enumeration date
01/07/2008
Last updated
05/23/2013
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