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Individual

STEVEN J. RATERMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(505) 257-7381
(505) 260-4338
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R22133
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156952
AZ
05
24501
NM
05
91520
NM
01
961295
PRONET / AETNA
NM
01
NM006622
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/01/2005
Last updated
07/09/2007
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