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Contact Information

JOHANNA K BYRD
610 W. PINON ST.
FARMINGTON, NM87401
 Phone: 505-325-1123
 Fax: 505-325-3054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOHANNA K BYRD · (Female)

NPI # 1215371927
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2013
Last updated 11/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2017-0674
Hospital affiliation(s)
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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