Search › New Mexico › 204D00000X
Steven Gustafson, DO
NPI 1043519184 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4371 E Lohman Ave
Las Cruces, NM 88011 - Phone
- (575) 523-5679
- Organisation at this address
- Ssrr Rx Llc
Riogrande Care Pharmacy Llc
Rio Grande Medical Group, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 204D00000X
204D00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico