Individual
NOAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
280 1ST ST BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-0205
Mailing address
721 NEW MEXICO AVE # 2058, HOLLOMAN AFB, NM 88330-8286
(317) 306-6143
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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