Individual
DR. FRANK PIERR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 ST MICHAELS DRIVE, SANTA FE, NM 87505-7621
(505) 986-8620
(505) 820-2461
Mailing address
465 ST MICHAELS DRIVE, SUITE 115, SANTA FE, NM 87505-7621
(505) 986-8620
(505) 820-2461
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
87-81
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00039917
—
NM
01
—
00NM001489
BLUE CROSS & BLUE SHIELD
NM
Enumeration date
10/03/2006
Last updated
12/18/2007
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