Wayne Clair Johnson

NPI 1083785760 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1083785760
Gender Male
Enumeration Date 11/13/2006
Last Updated 01/24/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3115 N GOVT WAY
SUITE #7
COEUR D ALENE ID, 83815-3790, US
Phone (208) 762-0797
Fax (208) 762-0791
Business Location
3115 N GOVERNMENT WAY
SUITE #7
COEUR D ALENE ID, 83815, US
Phone (208) 762-0797
Fax (208) 762-0791
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Wayne Clair Johnson NPI is 1083785760, taxonomy code is 332B00000X Wayne Clair Johnson physically located at 3115 N Govt Way, Coeur D Alene ID, 83815-3790. NPI Number Wayne Clair Johnson has the Individual type.

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1083785760 NPI number is provided on an as is basis without warranty of any kind. 1083785760 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Clair Johnson are for informational purposes only.