| Steven Paul Gross, MD | |
|
12000 Stone Lake Road, Dulce, NM 87528 | |
| (575) 759-7232 | |
| (575) 759-7294 |
| Full Name | Steven Paul Gross |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 12000 Stone Lake Road, Dulce, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578660908 | NPI | - | NPPES |
| 8HL709 | Other | NM | MEDICARE PROVIDER # |
| HSZ196 | Other | NM | MEDICARE PART B |
| 00032607 | Medicaid | NM | |
| K3526 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 84-44 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Paul Gross, MD Po Box 187, Dulce, NM 87528-0187 Ph: (575) 759-7232 | Steven Paul Gross, MD 12000 Stone Lake Road, Dulce, NM 87528 Ph: (575) 759-7232 |
Sirpa T. Autio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
Ms. Jennifer Lea Lea Claycomb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532 | |
Dr. Joan E Kandel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Medicine Way, Dulce, NM 87528 Phone: 505-360-5995 | |
Steven John Petrakis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 | |
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Dr. Raquel Irene Cisneros, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N. Mundo Dr., Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 |