Individual
ROOSEVELT G BRASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4038 PAINTED PONY CIR, SANTA FE, NM 87507-8447
(505) 438-6191
(505) 438-4574
Mailing address
4038 PAINTED PONY CIR, SANTA FE, NM 87507-8447
(505) 438-6191
(505) 438-4574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
81-18
NM
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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