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NPI Code Detail

MEDICARE: JOHN D ROMO JR.

MEDICARE:   JOHN D ROMO JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist1846NM

General Provider Information

NPI Number : 1821892001
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN D ROMO JR.
Provider Business Mailing Address
First Line : 1001 N SOLANO DR STE A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-2366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 N SOLANO DR STE A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-2366
Country : US
Telephone Number : 575-201-3307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2025
Last Update Date : 04/04/2025

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Directions to “ JOHN D ROMO JR. ” Practice Location

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