Dr. Richard Owen Johnson, MD
Pediatrics in Mammoth Lakes, CA. Individual provider (NPI-1).
NPI number1063528362
StatusActive
Last updated in NPPESApr 16, 2013
Details
- NPI
- 1063528362
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Owen Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Apr 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | G29540 | CA | Yes |
Practice location
85 Sierra Park RoadSuite A
Mammoth Lakes, CA 93546
Phone 760-924-4000 · Fax 760-924-4091
Mailing address
Po Box 660Mammoth Lakes, CA 93546-0660
Phone 760-924-4000 · Fax 760-924-4091
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Other Pediatrics Physician providers in Mammoth Lakes, CA
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- Kristin Elizabeth Collins, DONPI 1366678930
- Dr Maria M. King INCNPI 1942571211
- Kim Escudero, M.D.NPI 1063568293
- Grace Charmie Kim, MD, MPPNPI 1013479997
- Sarah Ruberman, M.D.NPI 1225490659
All 7 Pediatrics Physician providers in Mammoth Lakes · All 205 providers in Mammoth Lakes
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