MARY IDA JOHNSON MD NPI 1184630832

NPI Information

Mary Ida Johnson, MD is a neurology with special qualifications in child neurology psychiatry neurology in Albuquerque, NM. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Mary Ida Johnson, MD NPI is 1184630832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2ND AMBULATORY CARE CTR
2211 LOMAS BLVD. NE
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-3342

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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