Individual
DR. RICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2317 WILDWOOD LN, MANHATTAN, KS 66502-3610
(785) 473-7060
(785) 263-3979
Mailing address
2317 WILDWOOD LN, MANHATTAN, KS 66502-3610
(785) 473-7060
(785) 263-3979
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05-21868
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040648
BLUE CROSS BLUE SHIELD
KS
05
—
100235990A
—
KS
01
—
481176488
TAX ID
—
Enumeration date
08/19/2006
Last updated
09/16/2020
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