Johnny C. Moreno, Md Pa | |
606 N 13th St Artesia NM 88210-1165 | |
(575) 748-1266 | |
(575) 748-8822 |
Full Name | Johnny C. Moreno, Md Pa |
---|---|
Speciality | General Practice |
Location | 606 N 13th St, Artesia, New Mexico |
Authorized Official Name and Position | Johnny C. Moreno (PRESIDENT) |
Authorized Official Contact | 5757481266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Johnny C. Moreno, Md Pa Po Box 1410 Artesia NM 88211-1410 Ph: (575) 748-1266 | Johnny C. Moreno, Md Pa 606 N 13th St Artesia NM 88210-1165 Ph: (575) 748-1266 |
NPI Number | 1861421059 |
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Provider Enumeration Date | 07/01/2006 |
Last Update Date | 10/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861421059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 80-218 (New Mexico) | Primary |
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