Richard G Johnson MD INC

NPI #1689694523 in Glendora, California

Provider Information

NPI Number: 1689694523
Entity Type: Organization
Organization Name: Richard G Johnson MD INC
Primary Specialty: Specialist
Enumeration Date: Jul 21, 2006
Last Updated: Feb 10, 2009

Practice Location

Address: 415 W CARROLL AVE
Address 2: STE 100
City: Glendora
State: California
ZIP Code: 91741-4208
Phone: (626) 914-5219

Authorized Official

Name: DR. RICHARD GREENE JOHNSON, M.D.
Title: OWNER
Phone: (626) 914-5219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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