Individual
DONALD F. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 W 11TH ST, HMS MED SQUARE, SILVER CITY, NM 88061-5136
(575) 388-1511
(575) 388-3465
Mailing address
114 W. 11TH STREET, HMS MED SQUARE, SILVER CITY, NM 88061
(575) 388-1511
(575) 388-3465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96-80
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J2516
—
NM
Enumeration date
07/12/2005
Last updated
03/04/2008
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