Dr. R. W. Johnson, P.a.

NPI #1457486391 in Marshall, Minnesota

Provider Information

NPI Number: 1457486391
Entity Type: Organization
Organization Name: Dr. R. W. Johnson, P.a.
Primary Specialty: Dentist
Enumeration Date: Feb 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 304 W LYON ST
City: Marshall
State: Minnesota
ZIP Code: 56258-1308
Phone: (507) 532-2233

Authorized Official

Name: DR. RANDY W JOHNSON, DDS
Title: OFFICER
Phone: (507) 532-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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