Ronald L Johnson
NPI #1720088776 in Pittsfield, Illinois
Provider Information
- NPI Number
- 1720088776
- Entity Type
- Organization
- Organization Name
- Ronald L Johnson
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1073 W WASHINGTON ST
- City
- Pittsfield
- State
- Illinois
- ZIP Code
- 62363-1666
- Phone
- (217) 285-9661
Authorized Official
- Name
- DR. RONALD L JOHNSON, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (217) 285-9661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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