NPI 1194714956

Susie a John, MDMPH

Practitioner Pediatric Adolescent Medicine Physician Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 85216 (NM)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1194714956
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2005
Record last updated: 26 Dec 2007

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.