Individual
DR. CHRISTOPHER MILES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 BANDELIER COURT, SANTA FE, NM 87505-1613
(505) 795-3208
Mailing address
1850 BANDELIER COURT, SANTA FE, NM 87505-1613
(505) 795-3208
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01062005A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
38356
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200825210
—
IN
Enumeration date
03/21/2006
Last updated
04/03/2023
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