Individual
ZACKERY JOHN BILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 WALTER ST NE STE 500, ALBUQUERQUE, NM 87102-2567
(505) 727-3840
(505) 727-9154
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO2023-0396
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82250847
—
NM
Enumeration date
03/17/2018
Last updated
03/12/2026
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