DALLEN M JOHNSON

RIO RANCHO, NM
NPI1629322151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: NM  AA2024-0001)
Enumeration Date2012-11-06
Last Update Date2024-11-21
Business Address
Mr. DALLEN M JOHNSON CAA. MSA
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144-2100
Phone number: 385-278-9148
Mailing Address
Mr. DALLEN M JOHNSON CAA. MSA
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: