MR. Rex Joseph Johnson

NPI #1154446813 in Baker City, Oregon

Provider Information

NPI Number
1154446813
Entity Type
Individual
Name
MR. Rex Joseph Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Mar 20, 2007
Last Updated
Oct 29, 2007

Practice Location

Address
3705 MIDWAY DR
State
Oregon
ZIP Code
97814-1456
Phone
(541) 523-2020

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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