Individual
GREGORY E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E IDAHO AVE, #17, LAS CRUCES, NM 88005-3257
(505) 526-5525
(505) 541-0498
Mailing address
225 E IDAHO AVE, #17, LAS CRUCES, NM 88005-3257
(505) 526-5525
(505) 541-0498
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
77190
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201023525
PRESBYTERIAN HEALTH
NM
05
—
B9667
—
NM
01
—
NM009528
BLUE CROSS BLUE SHIELD
NM
05
—
Z3673
—
NM
Enumeration date
03/10/2007
Last updated
07/09/2007
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