DR. Charles Loren Johnson, M.D.

NPI #1891824439 in Bigfork, Montana

Provider Information

NPI Number: 1891824439
Entity Type: Individual
Name: DR. Charles Loren Johnson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 358 N FERNDALE DR
City: Bigfork
State: Montana
ZIP Code: 59911-6513
Phone: (406) 837-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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