Individual
MR. PAUL E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8883
(303) 468-1394
Mailing address
12687 W CEDAR DR, 200, LAKEWOOD, CO 80228-2014
(303) 468-1395
(303) 468-1394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20020304
NM
2085R0202X
Diagnostic Radiology Physician
Primary
MD2002-0304
NM
2085R0204X
Vascular & Interventional Radiology Physician
MD2002-0304
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82923884
—
NM
Enumeration date
06/13/2006
Last updated
12/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us