Healthcare Provider Details

I. General information

NPI: 1952425985
Provider Name (Legal Business Name): ALAN LEONARD ALTMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 08/28/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9132 4TH ST NW PO BOX 10896
ALBUQUERQUE NM
87114
US

IV. Provider business mailing address

PO BOX 10896
ALBUQUERQUE NM
87184
US

V. Phone/Fax

Practice location:
  • Phone: 505-269-1937
  • Fax: 505-247-3265
Mailing address:
  • Phone: 505-269-1937
  • Fax: 505-247-3265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number81-143
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: