Organization
ANDREW D. JOHNSON, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DANIEL JOHNSON O.D. (PRESIDENT/OWNER)
(575) 625-2020
Entity
Organization
Contact information
Practice address
4500 N MAIN ST, ROSWELL, NM 88201-0305
(575) 625-2020
(505) 622-7816
Mailing address
4500 N MAIN ST, ROSWELL, NM 88201-0305
(575) 625-2020
(505) 622-7816
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
NM0544
NM
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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