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Individual

BARRY K JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1531 ESPLANADE, CHICO, CA 95926
(530) 332-7300
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G65572
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G65572
CA
208VP0000X
Pain Medicine Physician
G65572
CA
208VP0014X
Interventional Pain Medicine Physician
G65572
CA

Other

Enumeration date
10/25/2006
Last updated
01/05/2016
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