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

DR. DAVID ALLAN QUACKENBUSH, DO

Active

DR. DAVID ALLAN QUACKENBUSH, DO is a Adolescent Medicine (Pediatrics) healthcare provider located in KIRTLAND AFB, New Mexico. NPI 1598189060 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · KIRTLAND AFB, NM

Registration Details

NPI Number
1598189060
Provider Type
Individual
Gender
Male
NPI Issued
Feb 4, 2014 (12.546532950248 yrs)
Last Updated
Aug 18, 2025
Licenses
0102204210 (VA)
0102204210 (VA)

Practice Information

Address
2050A 2ND ST SE
KIRTLAND AFB, NM, 871172502
Browse NM providers · Browse ZIP 87117
Phone
5058463200
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
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.