Organization
ADULT MEDICINE SPECIALISTS OF SANTA FE
Active
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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