Gordon R Johnson D O P C

NPI #1124362066 in Davenport, Iowa

Provider Information

NPI Number: 1124362066
Entity Type: Organization
Organization Name: Gordon R Johnson D O P C
Primary Specialty: Otolaryngology
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 3906 LILLIE AVE
Address 2: SUITE 1
City: Davenport
State: Iowa
ZIP Code: 52806-4434
Phone: (563) 391-3309

Authorized Official

Name: DR. GORDON R JOHNSON, D.O.
Title: PRESIDENT
Phone: (563) 391-3309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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