Timothy Ben Johnson D.O.

NPI 1942401286 - Radiology - 2085R0202X

NPI Details
NPI 1942401286
Gender Male
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
222 15TH AVE SE
PUYALLUP WA, 98372-3754, US
Phone (253) 841-4353
Fax (253) 581-5698
Business Location
LAKEWOOD WA, 98499-8120, US
Phone (253) 841-4353
Fax (253) 581-5698
Taxonomy Code 2085R0202X
License State Pennsylvania
License Number OS011864
Remove 1942401286 NPI Number

According to our database, Timothy Ben Johnson D.O. NPI is 1942401286, taxonomy code is 2085R0202X and license number is OS011864, license state is located at Pennsylvania. Timothy Ben Johnson D.O. physically located at 222 15th Ave Se, Puyallup WA, 98372-3754. NPI Number Timothy Ben Johnson D.O. has the Individual type.

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1942401286 NPI number is provided on an as is basis without warranty of any kind. 1942401286 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Ben Johnson D.O. are for informational purposes only.