DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUSTIN GLENN WILLIS, DO

Active

AUSTIN GLENN WILLIS, DO is a Pediatrics healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1083034920 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ALBUQUERQUE, NM

Registration Details

NPI Number
1083034920
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2014 (12.328181217204 yrs)
Last Updated
Jul 21, 2022
Licenses
BP1-0059381 (TX)
A-2075-17 (NM)

Practice Information

Address
1100 CENTRAL AVE SE
ALBUQUERQUE, NM, 871064930
Browse NM providers · Browse ZIP 87106
Phone
5058411063
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in ALBUQUERQUE, NM

Name Credential NPI
DR. JOEL S SALAND M.D. 1013914365
DR. GRETCHEN ELAINE SEELINGER M.D. 1285631226
ISIDORA P GALLAGHER MD 1528065570
DR. MELISSA EAKIN MASON M.D. 1851398804
DR. WENDELL WESTON SUMNER D.O. 1295733467
MARY H MA MD 1780682914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.