Johnny C. Moreno, MD PA

NPI #1861421059 in Artesia, New Mexico

Provider Information

NPI Number: 1861421059
Entity Type: Organization
Organization Name: Johnny C. Moreno, MD PA
Primary Specialty: General Practice
Enumeration Date: Jul 1, 2006
Last Updated: Oct 1, 2009

Practice Location

Address: 606 N 13TH ST
City: Artesia
State: New Mexico
ZIP Code: 88210-1165
Phone: (575) 748-1266

Authorized Official

Name: JOHNNY C. MORENO, M.D.
Title: PRESIDENT
Phone: (575) 748-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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