Samuel Stuart Johnson M.D.

NPI 1043212749 - Family Medicine - 207Q00000X

NPI Details
NPI 1043212749
Gender Male
Enumeration Date 08/12/2005
Last Updated 05/08/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
NEW TOWN ND, 58763-9112, US
Phone (701) 627-4750
Fax (888) 877-8471
Business Location
315 MAIN ST # 676
NEW TOWN ND, 58763-4000, US
Phone (385) 414-1376
Fax (888) 877-8471
Taxonomy Code 207Q00000X
License State Nevada
License Number 12967
Remove 1043212749 NPI Number

According to our database, Dr. Samuel Stuart Johnson M.D. NPI is 1043212749, taxonomy code is 207Q00000X and license number is 12967, license state is located at Nevada. Samuel Stuart Johnson M.D. physically located at 1058 College Dr, New Town ND, 58763-9112. NPI Number Samuel Stuart Johnson M.D. has the Individual type.

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1043212749 NPI number is provided on an as is basis without warranty of any kind. 1043212749 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Stuart Johnson M.D. are for informational purposes only.