Ellis W Johnson, MD

NPI #1841306156 in Woodland, Washington

Provider Information

NPI Number: 1841306156
Entity Type: Individual
Name: Ellis W Johnson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 527 2ND ST
City: Woodland
State: Washington
ZIP Code: 98674-8486
Phone: (360) 225-8911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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