MR. Troy W Johnson, OD

NPI #1316091887 in Scott Air Force Base, Illinois

Provider Information

NPI Number: 1316091887
Entity Type: Individual
Name: MR. Troy W Johnson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 22, 2007
Last Updated: Oct 3, 2008

Practice Location

Address: 310 W LOSEY ST
City: Scott Air Force Base
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-7361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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