Dr. Philip Quentin Johnson, MD
Orthopaedic Surgery in Fargo, ND. Individual provider (NPI-1).
NPI number1366494809
StatusActive
Last updated in NPPESJun 30, 2015
Details
- NPI
- 1366494809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Quentin Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2006
- Last updated
- Jun 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 6195 | ND | Yes |
| 207X00000X | Orthopaedic Surgery | 34857 | MN | |
| 207X00000X | Orthopaedic Surgery | 25154 | AZ | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 6195 | ND | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 34857 | MN | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 25154 | AZ |
Practice location
2829 University Dr SSuite 202
Fargo, ND 58103-6050
Phone 701-478-0307 · Fax 701-478-0309
Mailing address
2829 University Dr SSuite 202
Fargo, ND 58103-6050
Phone 701-478-0307 · Fax 701-478-0309
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