IndividualActive
Jeremiah Johnson
NPI 1821594136 · Radiation Oncology Physician · Albuquerque, NM
Provider details
- NPI number
- 1821594136
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 53837 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4901 Lang Ave Ne
Albuquerque, NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
Approximate (ZIP-level) locationGet directions
Mailing address
4901 Lang Ave Ne
Albuquerque, NM 87109-4397
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.