Theodore J Johnson LMP

NPI 1982722625 - Specialist - 174400000X

NPI Details
NPI 1982722625
Gender Male
Enumeration Date 03/27/2007
Last Updated 04/08/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
2132 44TH AVE SW
SEATTLE WA, 98116-2102, US
Phone (206) 261-0160
Fax (206) 937-1933
Business Location
2132 44TH AVE SW
SEATTLE WA, 98116-2102, US
Phone (206) 261-0160
Fax (206) 937-1933
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA00010180
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According to our database, Theodore J Johnson LMP NPI is 1982722625, taxonomy code is 174400000X and license number is MA00010180, license state is located at Washington. Theodore J Johnson LMP physically located at 2132 44th Ave Sw, Seattle WA, 98116-2102. NPI Number Theodore J Johnson LMP has the Individual type.

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1982722625 NPI number is provided on an as is basis without warranty of any kind. 1982722625 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore J Johnson LMP are for informational purposes only.