Whalio Doctors

NPI 1235429150

Andrew D. Johnson, O.D., P.C.

Organisation Point of Service Roswell, NM

Practice location

Address
4500 N Main St, Roswell, NM 88201-0305
Phone
(575) 625-2020
Fax
(505) 622-7816

Authorised official

Name
Andrew Daniel Johnson
Title
President/Owner
Phone
(575) 625-2020

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence NM0544 (NM)

Registry record

NPI
1235429150
Entity type
Organization
NPI issued
12 Apr 2011
Record last updated
12 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.