Individual
CHATT ALLAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-4882
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 958-2252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J8003
TX
208600000X
Surgery Physician
J8003
TX
208600000X
Surgery Physician
MD60327871
WA
2086S0129X
Vascular Surgery Physician
J8003
TX
2086S0129X
Vascular Surgery Physician
Primary
MD60327871
WA
Other
Enumeration date
11/07/2005
Last updated
12/13/2023
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