Jedidiah E. Johnson, HS1, IDC

NPI #1114000130 in Homer, Alaska

Provider Information

NPI Number
1114000130
Entity Type
Individual
Name
Jedidiah E. Johnson, HS1, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
HS1, IDC
Enumeration Date
Oct 23, 2006
Last Updated
Oct 8, 2013

Practice Location

Address
4688 HOMER SPIT RD
City
Homer
State
Alaska
ZIP Code
99603-8001
Phone
(360) 567-8238

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman
Technician, Other

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