Individual
FERNANDO RAVESSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 S TELSHOR BLVD STE 201, LAS CRUCES, NM 88011-8682
(575) 222-0037
(575) 571-4592
Mailing address
880 S TELSHOR BLVD STE 200, LAS CRUCES, NM 88011-8601
(575) 222-0037
(575) 571-4592
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2011-0758
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95425578
—
NM
Enumeration date
09/21/2005
Last updated
11/18/2022
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