DR. Philip James Johnson, MD

NPI #1306975263 in Ft Wayne, Indiana

Provider Information

NPI Number: 1306975263
Entity Type: Individual
Name: DR. Philip James Johnson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 5, 2007
Last Updated: Jan 31, 2008

Practice Location

Address: 2418 LAKE AVE
City: Ft Wayne
State: Indiana
ZIP Code: 46805
Phone: (260) 422-4757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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