Gordon Ray Johnson, D.O.

NPI #1205893781 in Davenport, Iowa

Provider Information

NPI Number
1205893781
Entity Type
Individual
Name
Gordon Ray Johnson, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Otolaryngology
Credential
D.O.
Enumeration Date
Apr 27, 2006
Last Updated
Oct 16, 2012

Practice Location

Address
3906 LILLIE AVE.
Address 2
SUITE 1
State
Iowa
ZIP Code
52806-4432
Phone
(563) 391-3309

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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