Organization
TAOS MOUNTAIN RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EATON JOHNSON M.D. (OWNER/PARTNER)
(505) 758-8883
Entity
Organization
Contact information
Practice address
1397 WEIMER RD, RADIOLOGY DEPARTMENT, TAOS, NM 87571-6284
(505) 758-8883
(505) 751-7661
Mailing address
12687 W CEDAR DR, SUITE 300, LAKEWOOD, CO 80228-2010
(303) 468-1395
(303) 468-1394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD2002-0304
NM
Other
Enumeration date
08/16/2007
Last updated
10/16/2007
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