Individual
ELIJAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
3301 MONROE ST NE UNIT K111, ALBUQUERQUE, NM 87110-1874
(505) 720-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2025-0527
NM
Other
Enumeration date
04/11/2022
Last updated
05/12/2025
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