Gary R Johnson Md, Inc in San Andreas - Legal Medicine

Gary R Johnson Md, Inc - NPI 1073695557

Gary R Johnson Md, Inc is a Legal Medicine in San Andreas, California. Gary R Johnson Md, Inc practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Gary R Johnson Md, Inc is 1073695557. The last update date is 2019-07-10.

Gary R Johnson Md, Inc's current location address is Po Box 580, San Andreas, California. You can contact this provider via phone number 2097541851 and fax number 2097540231. The mailing address for Gary R Johnson Md, Inc is Po Box 580, San Andreas, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gary R Johnson Md, Inc
Address Po Box 580, San Andreas, California
Phone Number 2097541851
Fax Number 2097540231
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Johnson Ronald Gary
Credentials MD
Telephone Number 2097541851

NPI Number Detail

NPI Number 1073695557
Provider Enumeration Date 2006-10-20
Last Updated Date 2019-07-10

Provider Mailing Address Detail

Address Po Box 580
City San Andreas
State California (CA)
Post Code 952490580
Phone Number 2097541851
Fax Number 2097540231

Provider's Primary Taxonomy Detail

Speciality Legal Medicine
Taxonomy 173000000X
Licence No G27755
Definition:
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judici

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G277550 CA --
1114013513 CA INDIVIDUAL NPI

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FAQs about Gary R Johnson Md, Inc

What is the Gary R Johnson Md, Inc's unique identification number?

The Gary R Johnson Md, Inc has been assigned the NPI (National Provider Identifier) Number 1073695557 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gary R Johnson Md, Inc is physically located?

The Gary R Johnson Md, Inc is physically situated at the following address: Po Box 580, San Andreas, CA, 952490580.

What is the Gary R Johnson Md, Inc's area of specialization and corresponding taxonomy classification?

The Gary R Johnson Md, Inc's specialty field is Legal Medicine, and it falls under the taxonomy code 173000000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073695557 to Gary R Johnson Md, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1073695557 to Gary R Johnson Md, Inc on 2006-10-20.

When was the Gary R Johnson Md, Inc's information last updated?

The Gary R Johnson Md, Inc's information was last updated on 2019-07-10.

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