Individual provider · Type 1 NPI

Jeremiah David Johnson

Radiation Oncology Physician · Albuquerque, NM

NPI number 1821594136 Active

Practice location

4901 Lang Ave NE
Albuquerque, NM 87109-4397

Fax (505) 246-0684

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001X53837 (KY)
Radiation Oncology Physician Primary 2085R0001XMD2023-1654 (NM)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1821594136

Jeremiah David Johnson's National Provider Identifier is 1821594136, issued on Apr 4, 2018. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 11, 2024.