| Mr Paul David Johenk, DO | |
|
Us Hwy 491 North, Shiprock, NM 87420 | |
| (505) 368-6401 | |
| (505) 368-6431 |
| Full Name | Mr Paul David Johenk |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | Us Hwy 491 North, Shiprock, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366430084 | NPI | - | NPPES |
| 41639529 | Medicaid | CO | |
| B3824 | Medicaid | NM | |
| 696388 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20A4190 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul David Johenk, DO Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6401 | Mr Paul David Johenk, DO Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6401 |
Dr. Francis James Peisel Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Glenn S Hartig, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Dr. Thomas M Willis, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Margaret Lou Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 |