Individual
BRYCE S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
850 W FLORIDA ST, DEMING, NM 88030-4558
(575) 544-2020
Mailing address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT702
NM
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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