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Organization
STANCIL E.D. JOHNSON, M.D, A PROFESSIONAL CORPORATION
Active
Organization
STANCIL E.D. JOHNSON, M.D, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANCIL E.D. JOHNSON M.D. (DOCTOR, M.D.)
(831) 625-2626
Entity
Organization
Contact information
Practice address
JUNIPERO ST BTWN 4TH & 5TH ST, SUITE 4, CARMEL, CA 93920
(831) 625-2626
(831) 625-1245
Mailing address
P.O. BOX 5396, CARMEL POST OFFICE, CARMEL, CA 93921
(831) 625-2626
(831) 625-1245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C28935
CA
2084P0800X
Psychiatry Physician
Primary
C289350-CA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C289350CA
MC LICENSE
CA
Enumeration date
03/08/2012
Last updated
06/20/2018
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