Individual
DR. GREGORY G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
494 E HISTORIC ST, TUCSON, AZ 85701-2866
(253) 449-5307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00046216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8456253
—
WA
Enumeration date
08/31/2006
Last updated
05/24/2010
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