Individual
ROBIN SANN GOSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4728
(505) 424-0200
(505) 424-6608
Mailing address
1631 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4728
(505) 424-0200
(505) 424-6608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
99-215
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00068358
—
NM
01
—
1000473
LOVELACE
—
01
—
202007381
PRESBYTERIAN HEALTH PLANS
—
01
—
2083796
CCN
—
01
—
2340202
UHC
—
01
—
9120159
PHCS
—
01
—
NM001H17
BCBS NM
NM
01
—
PROVP13125
MOLINA
—
Enumeration date
05/27/2006
Last updated
11/01/2011
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