Healthcare Provider Details
I. General information
NPI: 1285784140
Provider Name (Legal Business Name): ANNA M VOLTURA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/11/2007
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4200 BECKNER RD
SANTA FE NM
87507-3774
US
IV. Provider business mailing address
8020 CONSTITUTION PL NE STE 202
ALBUQUERQUE NM
87110-7640
US
V. Phone/Fax
- Phone: 505-477-2200
- Fax:
- Phone: 505-998-3096
- Fax: 505-998-3100
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 98-412 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: