Gregory L Johnson, M.D.

NPI #1417922857 in Peoria, Illinois

Provider Information

NPI Number
1417922857
Entity Type
Individual
Name
Gregory L Johnson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine - Geriatric Medicine
Credential
M.D.
Enumeration Date
Feb 21, 2006
Last Updated
Jan 31, 2013

Practice Location

Address
900 MAIN ST
Address 2
SUITE 100
City
Peoria
ZIP Code
61602-1005
Phone
(309) 672-4908

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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