Individual provider · Type 1 NPI

Mary Ida Johnson, MD

Neurology with Special Qualifications in Child Neurology Physician · Albuquerque, NM

NPI number 1184630832 Active

Practice location

2nd Ambulatory Care Ctr, 2211 Lomas Blvd. NE
Albuquerque, NM 87131-0001

Call (505) 272-3342 Map

Mailing address

2211 Lomas Blvd NE, MSC10 5620
Albuquerque, NM 87131-0001

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X2000-214 (NM)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1184630832

Mary Ida Johnson, MD's National Provider Identifier is 1184630832, issued on Aug 1, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.