Individual
ROBERT C KOLOSSEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2545 DON ROSER DRIVE, LAS CRUCES, NM 88011-9107
(575) 522-7880
(575) 522-7226
Mailing address
2545 DON ROSER DRIVE, LAS CRUCES, NM 88011-9107
(575) 522-7880
(575) 522-7226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
99-237
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02056372
—
NM
Enumeration date
06/01/2005
Last updated
07/30/2012
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