Provider Demographics
NPI:1952425985
Name:ALTMAN, ALAN L (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:L
Last Name:ALTMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:500 WALTER ST NE SUITE #301
Mailing Address - Street 2:LOVELACE MEDICAL TOWERS
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102
Mailing Address - Country:US
Mailing Address - Phone:505-843-7798
Mailing Address - Fax:505-247-3265
Practice Address - Street 1:500 WALTER ST NE SUITE #301
Practice Address - Street 2:LOVELACE MEDICAL TOWERS
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102
Practice Address - Country:US
Practice Address - Phone:505-843-7798
Practice Address - Fax:505-247-3265
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2015-09-01
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Provider Licenses
StateLicense IDTaxonomies
NM81-143207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000035477Medicaid
NM000035477Medicaid
NM2108195Medicare PIN