Organization
JEFFREY M ROSS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M. ROSS M.D. (OWNER)
(505) 988-4349
Entity
Organization
Contact information
Practice address
1670 CERRO GORDO RD, SANTA FE, NM 87501-6175
(505) 988-4349
(505) 989-7492
Mailing address
1670 CERRO GORDO RD, SANTA FE, NM 87501-6175
(505) 988-4349
(505) 989-7492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
87141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215071766
INDIVIDUAL NPI
—
05
—
3087
—
NM
Enumeration date
05/14/2008
Last updated
11/14/2008
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