Organization · Type 2 NPI
Johnny C. Moreno, MD PA
General Practice Physician · Artesia, NM
NPI number
1861421059
Active
Practice location
606 N 13th St
Artesia, NM 88210-1165
Fax (575) 748-8822
Mailing address
PO Box 1410
Artesia, NM 88211-1410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 80-218 (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.
4 other providers at this address
About NPI 1861421059
Johnny C. Moreno, MD PA's National Provider Identifier is 1861421059, issued on Jul 1, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Artesia, NM. The record was last updated on Oct 1, 2009.