NPI 1134394430

Peter Abraham Headley, MD

Practitioner Urology Physician Albuquerque, NM

Practice location

Address: 610 Broadway Blvd NE, Albuquerque, NM 87102-2372
Phone: (505) 242-3991
Fax: (505) 243-8405
Mailing address: 4901 Lang Ave NE, Albuquerque, NM 87109-4397

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD2013-0794 (NM)

Other Urology providers in New Mexico →

Specialist

Other Service Providers Taxonomy 174400000X Licence MD2013-0794 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1134394430
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2008
Record last updated: 21 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.