Individual
ELSA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 16TH AVE E # CSB-4, SEATTLE, WA 98112-5211
(206) 326-3530
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00025634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8153025
—
WA
Enumeration date
01/25/2007
Last updated
12/04/2012
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