Cory T Johnson MD PC
Obstetrics & Gynecology in Klamath Falls, OR. Organization (NPI-2).
NPI number1558516005
StatusActive
Last updated in NPPESNov 25, 2008
Details
- NPI
- 1558516005
- Entity type
- Organization (NPI-2)
- Legal business name
- Cory T Johnson MD PC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2008
- Last updated
- Nov 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD24075 | OR | Yes |
Practice location
3000 Bryant Williams DrSuite 100
Klamath Falls, OR 97601-1139
Phone 541-274-2345 · Fax 541-274-4666
Mailing address
2301 Mountain View BlvdSuite F
Klamath Falls, OR 97601-1137
Phone 541-850-0490 · Fax 541-850-0499
Authorized official
Cory Todd Johnson
MD/Ceo
5412742345
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