Individual
DR. JOHNNIE R VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10700 MENAUL BLVD NE, SUITE C, ALBUQUERQUE, NM 87112-2437
(505) 323-8911
(505) 294-3305
Mailing address
10753 PROSPECT AVE NE, SUITE B, ALBUQUERQUE, NM 87112-3272
(505) 323-8911
(505) 294-3305
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
89-319
NM
Other
Enumeration date
03/01/2007
Last updated
10/15/2009
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