Individual
BOUDINOT T ATTERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1691 GALISTEO ST, SUITE D, SANTA FE, NM 87505-4780
(505) 954-1921
(505) 954-1922
Mailing address
1691 GALISTEO ST, SUITE D, SANTA FE, NM 87505-4780
(505) 954-1921
(505) 954-1922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88112
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201000365
PRESBYTERIAN
NM
05
—
30751
—
NM
01
—
NM013461
BCBS
NM
Enumeration date
07/18/2006
Last updated
07/02/2013
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