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Individual
GARY K JOHNSON
Active
Individual
GARY K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00011699
WA
207YS0123X
Facial Plastic Surgery Physician
MD00011699
WA
207YX0602X
Otolaryngic Allergy Physician
MD00011699
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD00011699
WA
208200000X
Plastic Surgery Physician
MD00011699
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD00011699
WA
Other
Enumeration date
01/25/2006
Last updated
11/02/2021
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