Wayne Carleton Johnson, IDC
Military Health Care Provider, Independent Duty Corpsman in Twentynine Palms, CA. Individual provider (NPI-1).
NPI number1639147697
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1639147697
- Entity type
- Individual (NPI-1)
- Name
- Wayne Carleton Johnson
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Naval HospitalBox 788250
Twentynine Palms, CA 92278-8250
Phone 760-830-2677 · Fax 760-830-2601
Mailing address
3848b Westside RdTwentynine Palms, CA 92277-9407
Phone 760-368-2149 · Fax 760-830-2601
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All 18 Independent Duty Corpsman providers in Twentynine Palms · All 355 providers in Twentynine Palms
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