Healthcare Provider Details

I. General information

NPI: 1437398393
Provider Name (Legal Business Name): ANNA M VOLTURA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2009
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 GALISTEO ST STE 6
SANTA FE NM
87505-4752
US

IV. Provider business mailing address

518 OLD SANTA FE TRL STE 1
SANTA FE NM
87505-0398
US

V. Phone/Fax

Practice location:
  • Phone: 505-820-0009
  • Fax: 505-820-1321
Mailing address:
  • Phone: 505-820-0009
  • Fax: 505-820-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number98-412
License Number StateNM

VIII. Authorized Official

Name: DR. ANNA M VOLTURA
Title or Position: OWNER
Credential: MD
Phone: 505-820-0009