Bruce Gordon Johnson, O.D.

NPI #1366654899 in Gillette, Wyoming

Provider Information

NPI Number
1366654899
Entity Type
Individual
Name
Bruce Gordon Johnson, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
May 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2610 SOUTH DOUGLAS HIGHWAY
Address 2
SUITE 190
State
Wyoming
ZIP Code
82718
Phone
(307) 682-7861

Specialties & Taxonomy Codes

Specialty
Optometrist

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