Individual provider · Type 1 NPI

Austin Glenn Willis, DO

Pediatrics Physician · Albuquerque, NM

NPI number 1083034920 Active

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Call (505) 841-1063 Map

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XBP1-0059381 (TX)
Pediatrics Physician Primary 208000000XA-2075-17 (NM)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1083034920

Austin Glenn Willis, DO's National Provider Identifier is 1083034920, issued on Apr 18, 2014. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 21, 2022.