Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Dillon Gardner Alam

Individual provider Athletic Trainer · NPI 1417657594

Peter Dillon Gardner Alam is an Athletic Trainer in Albuquerque, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023

Practice location Address checks out

1224 Nakomis Dr NE Unit H
Albuquerque, NM 87112-6047
Phone: (832) 512-5120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4851 Paseo Del Sol, Santa Fe, NM 87507-3027 — (832) 512-5120

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT22024 (NM)

Record details

NPI number1417657594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address20747 Cranfield Dr, Katy, TX 77450-2703

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