Individual provider · Type 1 NPI
Johnnie R. Vigil, MD
General Practice Physician · Albuquerque, NM
NPI number
1285762377
Active
Practice location
10700 Menaul Blvd NE, Suite C
Albuquerque, NM 87112-2437
Fax (505) 294-3305
Mailing address
10753 Prospect Ave NE, Suite B
Albuquerque, NM 87112-3272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 89-319 (NM) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1285762377
Johnnie R. Vigil, MD's National Provider Identifier is 1285762377, issued on Mar 1, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 15, 2009.