Christopher Johnson
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1407375488
StatusActive
Last updated in NPPESSep 11, 2017
Details
- NPI
- 1407375488
- Entity type
- Individual (NPI-1)
- Name
- Christopher Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2017
- Last updated
- Sep 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
3170 Bebas LnSan Diego, CA 92123-2046
Phone 847-345-5018
Mailing address
3170 Bebas LnSan Diego, CA 92123-2046
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