Individual
DR. LUKE WILLIAM BULTHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 BECKNER RD LEVEL 1 POD 2 STE 1650, ORTHOPEDICS - SANTA FE, SANTA FE, NM 87507-3641
(505) 772-2000
(505) 772-1749
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 772-2000
(505) 772-1749
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2017-0568
NM
Other
Enumeration date
04/08/2011
Last updated
12/09/2025
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