Max Ray Johnson in Fargo - Retina Specialist
Max Ray Johnson - NPI 1679559975
Max Ray Johnson is a Retina Specialist in Fargo, North Dakota. Max Ray Johnson practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Max Ray Johnson is 1679559975. The last update date is 2022-01-04.
Max Ray Johnson's current location address is 4450 31st Ave S Ste 200, Fargo, North Dakota. You can contact this provider via phone number 7012939829 and fax number 7012930111. The mailing address for Max Ray Johnson is 4450 31st Ave S Ste 200, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max Ray Johnson |
|---|---|
| Address | 4450 31st Ave S Ste 200, Fargo, North Dakota |
| Phone Number | 7012939829 |
| Fax Number | 7012930111 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679559975 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2022-01-04 |
Provider Mailing Address Detail
| Address | 4450 31st Ave S Ste 200 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581044556 |
| Phone Number | 7012939829 |
| Fax Number | 7012930111 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 5573 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Max Ray Johnson?
The Max Ray Johnson has been issued the NPI (National Provider Identifier) 1679559975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Max Ray Johnson is located?
The Max Ray Johnson is situated at the following address: 4450 31St Ave S Ste 200, Fargo, ND, 581044556.
What is the Max Ray Johnson's specialty and taxonomy code?
The Max Ray Johnson's specialty is Retina Specialist, and the corresponding taxonomy code is 207Wx0107X.
When did Max Ray Johnson receive its 1679559975 assignment?
The Max Ray Johnson was assigned its 1679559975 on 2005-12-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Max Ray Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Max Ray Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-04.
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