Individual
DR. RICHARD BUSH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2477 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-3471
Mailing address
2477 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-3471
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
79261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00028373
—
NM
01
—
NM002L06
BCBS
NM
Enumeration date
10/05/2005
Last updated
01/02/2017
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