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Individual

DR. ROSS STEVEN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MSC10 5615, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3401
Mailing address
6401 SANTA MONICA AVE. NE, APT. 3081, ALBUQUERQUE, NM 87109
(480) 639-7770

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
RS2015-0478
NM
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
05/27/2015
Last updated
06/19/2015
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