Individual provider · NPI-1

Boudinot T Atterbury, MD

Internal Medicine · Santa Fe, NM

NPI number1720006448
StatusActive
Last updated in NPPESJul 2, 2013

Details

NPI
1720006448
Entity type
Individual (NPI-1)
Name
Boudinot T Atterbury
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2006
Last updated
Jul 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine88112NMYes

Practice location

1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780

Phone 505-954-1921 · Fax 505-954-1922

Mailing address

1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780

Phone 505-954-1921 · Fax 505-954-1922

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