Organization
JOHN R. VIGIL, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE R VIGIL (OWNER/MD)
(505) 263-1422
Entity
Organization
Contact information
Practice address
3900 EUBANK BLVD NE STE 18, ALBUQUERQUE, NM 87111-3427
(505) 884-3344
Mailing address
205 W BOUTZ RD BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
89-319
NM
Other
Enumeration date
08/06/2011
Last updated
10/05/2021
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