Individual
RUSSELL ROBERT REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2025-1037
NM
Other
Enumeration date
05/12/2022
Last updated
09/23/2025
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