| 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 |
|---|---|
| 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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