| Mr Jeremiah Edwin Johnson, RD MPH | |
|
208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, NM 88103-5009 | |
| (575) 784-2843 | |
| Not Available |
| Full Name | Mr Jeremiah Edwin Johnson |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 208 W Casablanca Ave, Cannon Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558386979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremiah Edwin Johnson, RD MPH 208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, NM 88103-5009 Ph: (575) 784-2843 | Mr Jeremiah Edwin Johnson, RD MPH 208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, NM 88103-5009 Ph: (575) 784-2843 |
Clifford Mcarthur, MS, RDN, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Air Commando Way, Cannon Afb, NM 88103 Phone: 253-720-8595 | |
Mr. Chase Chesterman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103 Phone: 575-904-3917 Fax: 575-784-6028 |