IndividualActive
Austin Willis, DO
NPI 1083034920 · Pediatrics Physician · Albuquerque, NM
Provider details
- NPI number
- 1083034920
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- BP1-0059381 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1100 Central Ave Se
Albuquerque, NM 87106-4930
Phone: (505) 841-1063
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26666
Albuquerque, NM 87125-6666
Registry dates
- Enumerated
- 2014-04-18
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.