ALLEN ROBERT RUTTENBERG MD NPI 1922194067

NPI Information

NPI: 1922194067
Provider Name: ALLEN ROBERT RUTTENBERG, MD
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
2801 RODEO ROAD
SUITE B-13
SANTA FE, NM
ZIP 87507
Phone: (505) 474-6097
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Allen Robert Ruttenberg, MD is a neuromusculoskeletal medicine sports medicine in Santa Fe, NM. The provider is definition to come. Allen Robert Ruttenberg, MD NPI is 1922194067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 RODEO ROAD
SUITE B-13
SANTA FE, NM
ZIP 87507
Phone: (505) 474-6097

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		82-300	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F16068	MEDICARE UPIN	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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