Charles Loren Johnson M.D.

NPI 1891824439 - Family Medicine - 207Q00000X

NPI Details
NPI 1891824439
Gender Male
Enumeration Date 03/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
358 N FERNDALE DR
BIGFORK MT, 59911-6513, US
Phone (406) 837-3657
Fax
Business Location
358 N FERNDALE DR
BIGFORK MT, 59911-6513, US
Phone (406) 837-3657
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Montana
License Number 4324
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According to our database, Dr. Charles Loren Johnson M.D. NPI is 1891824439, taxonomy code is 207Q00000X and license number is 4324, license state is located at Montana. Charles Loren Johnson M.D. physically located at 358 N Ferndale Dr, Bigfork MT, 59911-6513. NPI Number Charles Loren Johnson M.D. has the Individual type.

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1891824439 NPI number is provided on an as is basis without warranty of any kind. 1891824439 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Loren Johnson M.D. are for informational purposes only.