Organization
ADULT MEDICINE SPECIALISTS OF SANTA FE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOUDINOT TALCOTT ATTERBURY MD (OWNER)
(505) 989-7400
Entity
Organization
Contact information
Practice address
1650 HOSPITAL DR, SUITE 400, SANTA FE, NM 87505-4769
(505) 989-7400
(505) 986-8028
Mailing address
1650 HOSPITAL DR, SUITE 400, SANTA FE, NM 87505-4769
(505) 989-7400
(505) 986-8028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30751
—
NM
05
—
K8459
—
NM
01
—
NM013461
BCBS OF NEW MEXICO
NM
01
—
NM0931
BCBS OF NEW MEXICO
NM
Enumeration date
03/14/2007
Last updated
08/22/2020
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