Bert Jay Johns III MD

NPI 1053395848 - Surgery - 208600000X

NPI Details
NPI 1053395848
Gender Male
Enumeration Date 12/05/2005
Last Updated 04/29/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1800 SULLIVAN AVE
SUITE 507
DALY CITY CA, 94015-2225, US
Phone (650) 994-9936
Fax (650) 994-2016
Business Location
1800 SULLIVAN AVE
SUITE 507
DALY CITY CA, 94015-2225, US
Phone (650) 994-9936
Fax (650) 994-2016
Toxanomy
Taxonomy Code 208600000X
License State California
License Number G62546
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According to our database, Bert Jay Johns III MD NPI is 1053395848, taxonomy code is 208600000X and license number is G62546, license state is located at California. Bert Jay Johns III MD physically located at 1800 Sullivan Ave, Daly City CA, 94015-2225. NPI Number Bert Jay Johns III MD has the Individual type.

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1053395848 NPI number is provided on an as is basis without warranty of any kind. 1053395848 is maintained by the National Plan & Provider Enumeration System. The contents of Bert Jay Johns III MD are for informational purposes only.