Individual
DR. JOHNNY C. MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 N 13TH ST, ARTESIA, NM 88210-1165
(575) 748-1266
(575) 748-8822
Mailing address
606 N 13TH ST, ARTESIA, NM 88210-1165
(575) 748-1266
(575) 748-8822
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
80-218
NM
Other
Enumeration date
07/13/2005
Last updated
12/30/2011
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