Provider Demographics
NPI:1437398393
Name:ANNA M VOLTURA MD PC
Entity Type:Organization
Organization Name:ANNA M VOLTURA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VOLTURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-820-0009
Mailing Address - Street 1:518 OLD SANTA FE TRL STE 1
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-0398
Mailing Address - Country:US
Mailing Address - Phone:505-820-0009
Mailing Address - Fax:505-820-1321
Practice Address - Street 1:1651 GALISTEO ST STE 6
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4752
Practice Address - Country:US
Practice Address - Phone:505-820-0009
Practice Address - Fax:505-820-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM98-412208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNMB2213Medicare PIN