Individual
ERIC T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
204 GLENN ST SE, SUITE 2, MOUNT VERNON, IA 52314-1501
(319) 895-8442
(319) 895-8482
Mailing address
204 GLENN ST SE, SUITE 2, MOUNT VERNON, IA 52314-1501
(319) 895-8442
(319) 895-8482
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3783
IA
Other
Enumeration date
05/21/2007
Last updated
06/29/2010
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