Individual
DR. LEROY RISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4728
(505) 424-0200
(505) 424-6608
Mailing address
1631 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4728
(505) 424-0200
(505) 424-6608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.088474
OH
207X00000X
Orthopaedic Surgery Physician
Primary
MD2011-0073
NM
Other
Enumeration date
09/11/2007
Last updated
07/25/2012
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