Rylan J Johnson DPM

NPI 1699794693 - Orthopaedic Surgery - 207XX0004X

NPI Details
NPI 1699794693
Gender Male
Enumeration Date 07/19/2006
Last Updated 02/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2805 5TH ST
SUITE 100
RAPID CITY SD, 57701-6003, US
Phone (605) 719-5700
Fax (605) 719-5701
Business Location
353 FAIRMONT BLVD
ATTEN MEDICAL STAFF SERVICES
RAPID CITY SD, 57701-6000, US
Phone
Fax
Toxanomy
Taxonomy Code 207XX0004X
License State South Dakota
License Number 188
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According to our database, Rylan J Johnson DPM NPI is 1699794693, taxonomy code is 207XX0004X and license number is 188, license state is located at South Dakota. Rylan J Johnson DPM physically located at 2805 5th St, Rapid City SD, 57701-6003. NPI Number Rylan J Johnson DPM has the Individual type.

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1699794693 NPI number is provided on an as is basis without warranty of any kind. 1699794693 is maintained by the National Plan & Provider Enumeration System. The contents of Rylan J Johnson DPM are for informational purposes only.