Individual
MR. RANDY PHILLIP JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2151 S COLLEGE DR, SUITE 105, SANTA MARIA, CA 93455-1302
(805) 922-6610
(805) 922-1226
Mailing address
2151 S COLLEGE DR, SUITE 105, SANTA MARIA, CA 93455-1302
(805) 922-6610
(805) 922-1226
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
G62052
CA
Other
Enumeration date
12/04/2006
Last updated
09/16/2010
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