Individual
JOHANNA KATHRYN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 W. PINON ST., FARMINGTON, NM 87401
(505) 325-1123
(505) 325-3054
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2017-0674
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/24/2013
Last updated
11/14/2024
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