Organization
SANTA FE INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HASBAH ROESSEL M.D. (PSYCHIATRIST)
(505) 946-9264
Entity
Organization
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9264
(505) 946-9556
Mailing address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9264
(505) 946-9556
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
89-288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q9691
—
NM
Enumeration date
12/23/2005
Last updated
09/13/2011
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