# ROBERT E. BUSH NAVAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326023011
- **Authorized official:** DR. DENNIS WILLIAM JOHNSON M.D., (PHYSICIAN)
- **Authorized official phone:** (760) 830-2417

## Contact information

- **Practice address:** MAGTFTC MCAGCC BOX 788250, NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS, TWENTYNINE PALMS, CA 92278-8250
- **Practice address phone:** (760) 830-2417
- **Mailing address:** 58011 HIDDEN GOLD DR, DENNIS W JOHNSON, YUCCA VALLEY, CA 92284-6290
- **Mailing address phone:** (760) 830-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A74423 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 08/22/2020
