Organization
DR CASEY D. JOHNSTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY D JOHNSTON MD (PROVIDER AND OWNER)
(605) 882-2630
Entity
Organization
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-2630
(605) 882-0447
Mailing address
PO BOX 170, WATERTOWN, SD 57201-0170
(605) 882-2630
(605) 882-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR3580
RAILROAD MEDICARE
SD
Enumeration date
06/07/2010
Last updated
06/24/2011
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