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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSIE A JOHN, MD MPH

Active

SUSIE A JOHN, MD MPH is a Adolescent Medicine (Pediatrics) healthcare provider located in SHIPROCK, New Mexico. NPI 1194714956 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · SHIPROCK, NM

Registration Details

NPI Number
1194714956
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2005 (20.794537857988 yrs)
Last Updated
Dec 26, 2007
License
85216 (NM)

Practice Information

Address
US HWY 491 NORTH
SHIPROCK, NM, 87420
Browse NM providers · Browse ZIP 87420
Phone
5053686401
Fax
5053686431
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.