Richard G Johnson JR. M.D

NPI 1083691182 - Specialist - 174400000X

NPI Details
NPI 1083691182
Gender Male
Enumeration Date 12/29/2005
Last Updated 03/25/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
415 W CARROLL AVE
GLENDORA CA, 91741-4208, US
Phone (626) 914-5219
Fax (626) 914-7846
Business Location
415 W CARROLL AVE
GLENDORA CA, 91741-4208, US
Phone (626) 914-5219
Fax (626) 914-7846
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G45973
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According to our database, Dr. Richard G Johnson JR. M.D NPI is 1083691182, taxonomy code is 174400000X and license number is G45973, license state is located at California. Richard G Johnson JR. M.D physically located at 415 W Carroll Ave, Glendora CA, 91741-4208. NPI Number Richard G Johnson JR. M.D has the Individual type.

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1083691182 NPI number is provided on an as is basis without warranty of any kind. 1083691182 is maintained by the National Plan & Provider Enumeration System. The contents of Richard G Johnson JR. M.D are for informational purposes only.