Individual
DR. JEFFREY M ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CERRO GORDO RD, SANTA FE, NM 87501-6175
(505) 988-4349
(505) 989-7492
Mailing address
1670 CERRO GORDO RD, SANTA FE, NM 87501-6175
(505) 988-4349
(505) 989-7492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
87-141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087
—
NM
Enumeration date
02/17/2007
Last updated
11/14/2008
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