Individual
JORDAN E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4351 E LOHMAN AVE STE 301, LAS CRUCES, NM 88011-8262
(575) 556-7600
Mailing address
4351 E LOHMAN AVE STE 301, LAS CRUCES, NM 88011-8262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DO2023-0337
NM
207XX0801X
Orthopaedic Trauma Physician
Primary
DO2023-0337
NM
Other
Enumeration date
03/16/2018
Last updated
07/27/2025
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