Individual
DR. RYAN ROSS FREEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4351 E LOHMAN AVE STE 200, LAS CRUCES, NM 88011-8260
(575) 522-4940
(575) 522-4932
Mailing address
4351 E LOHMAN AVE STE 200, LAS CRUCES, NM 88011-8260
(575) 522-4940
(575) 522-4932
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M3551
TX
208600000X
Surgery Physician
Primary
MD2008-0668
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79221025
—
NM
Enumeration date
10/05/2006
Last updated
02/26/2016
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