Individual
DR. DALLAS PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 TUCKER NE MSC09 5040, ALBUQUERQUE, NM 87131-2868
(505) 272-2165
Mailing address
MSC09 5040, 1 UNIVERISTY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2024-0397
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
03/31/2026
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