Individual
DANA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2150 HIGHWAY 54 S, ALAMOGORDO, NM 88310-7330
(575) 443-8133
(575) 443-8055
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.126547
IL
207Q00000X
Family Medicine Physician
Primary
A-1896-15
NM
207Q00000X
Family Medicine Physician
A138006
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88225038
—
NM
Enumeration date
10/31/2006
Last updated
10/29/2015
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