Individual
DAVID A. PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3812 ACADEMY PARKWAY NORTH NE, ALBUQUERQUE, NM 87109-6749
(505) 938-7431
(505) 814-6039
Mailing address
3812 ACADEMY PARKWAY NORTH NE, ALBUQUERQUE, NM 87109-4409
(505) 938-7431
(505) 814-6039
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
89-87
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201019271
PRESBYTERIAN PIN #
NM
05
—
22905
—
NM
01
—
NM00NL17
BLUE CROSS PIN #
NM
Enumeration date
08/25/2006
Last updated
12/31/2015
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