Bruce Johnston
NPI #1003575747 in San Diego, California
Provider Information
- NPI Number
- 1003575747
- Entity Type
- Individual
- Name
- Bruce Johnston
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 2000 TRIDENT WAY
- City
- San Diego
- State
- California
- ZIP Code
- 92155-5599
- Phone
- (513) 641-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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