Individual
JOHNNY W REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2600 N SILVER ST, SILVER CITY, NM 88061-7201
(575) 388-1889
(575) 388-9952
Mailing address
1618 E PINE ST, SILVER CITY, NM 88061-7155
(575) 388-1561
(575) 388-9952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2003-0002
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69230030
—
NM
Enumeration date
04/26/2006
Last updated
04/03/2025
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