NPI 1871996595

Johnny Ray Crain, RTRARRT

Practitioner Radiography Radiologic Technologist Los Lunas, NM

Practice location

Address: 311 Los Lentes Rd SE, Los Lunas, NM 87031-9224
Phone: (916) 821-7919
Fax: (505) 565-2272
Mailing address: 16 Sheba Pl, Los Lunas, NM 87031-7021

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 325224 (NM)

Other Radiologic Technologist providers in New Mexico →

Registry record

NPI: 1871996595
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2014
Record last updated: 8 Oct 2014

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.