Individual
ROBBEN RAINES GINGERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 SOUTHERN BLVD SE, SUITE B1, RIO RANCHO, NM 87124-1990
(505) 200-9158
(505) 200-9497
Mailing address
3188 SOUTHERN BLVD SE, SUITE B1, RIO RANCHO, NM 87124-1990
(505) 200-9158
(505) 200-9497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
91-207
NM
2084P0805X
Geriatric Psychiatry Physician
Primary
91-207
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E0179
—
NM
Enumeration date
09/27/2006
Last updated
06/15/2022
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