Individual
MR. REX JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 MIDWAY DR, BAKER CITY, OR 97814-1456
(541) 523-2020
Mailing address
3705 MIDWAY DR, BAKER CITY, OR 97814-1456
(541) 523-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
10/29/2007
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