Individual
CLIFFORD JOHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7320 179TH ST SW, EDMONDS, WA 98026-5534
(425) 743-5160
(425) 743-5160
Mailing address
7320 179TH ST SW, EDMONDS, WA 98026-5534
(425) 743-5160
(425) 743-5160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
691
WA
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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