Individual
PETER DILLON GARDNER ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 NAKOMIS DR NE UNIT H, ALBUQUERQUE, NM 87112-6047
(832) 512-5120
Mailing address
20747 CRANFIELD DR, KATY, TX 77450-2703
(832) 512-5120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT22024
NM
Other
Enumeration date
03/07/2023
Last updated
07/18/2023
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