STACI A LOGUE-JOHNSON

ALBUQUERQUE, NM
NPI1922014646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NM  PA2003-0020)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: NM  PA2003-0020)
Enumeration Date2006-08-01
Last Update Date2018-02-09
Business Address
STACI A LOGUE-JOHNSON PA-C
5150 JOURNAL CENTER BLVD NE
ALBUQUERQUE, NM 87109-5900
Phone number: 505-262-7223
Mailing Address
STACI A LOGUE-JOHNSON PA-C
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-2345