Individual
DR. RUSSELL SOLO BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.M
Contact information
Practice address
1305 LUISA ST STE A4, SANTA FE, NM 87505-9830
(505) 986-8802
Mailing address
1305 LUISA ST STE A4, SANTA FE, NM 87505-9830
(505) 986-8802
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
448
NM
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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