NPI 1750907465

Noah Johnson, IDMT

Practitioner Independent Duty Medical Technicians Holloman Afb, NM

Practice location

Address: 280 1st St Bldg 23, Holloman Afb, NM 88330-8273
Phone: (575) 572-0205
Mailing address: 721 New Mexico Ave # 2058, Holloman Afb, NM 88330-8286

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1750907465
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2020
Record last updated: 18 Jun 2020

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.