Organization
JOHNNY C. MORENO, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY C. MORENO M.D. (PRESIDENT)
(575) 748-1266
Entity
Organization
Contact information
Practice address
606 N 13TH ST, ARTESIA, NM 88210-1165
(575) 748-1266
(575) 748-8822
Mailing address
PO BOX 1410, ARTESIA, NM 88211-1410
(575) 748-1266
(575) 748-8822
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
80-218
NM
Other
Enumeration date
07/01/2006
Last updated
10/01/2009
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