Individual
JAMES L JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 W YELLOWSTONE AVE, CODY, WY 82414-8723
(307) 527-7129
(307) 587-7394
Mailing address
2820 CENTRAL AVE STE A, BILLINGS, MT 59102-8624
(406) 896-2478
(406) 896-2491
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6172A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157896
—
MT
01
—
020049170
RAILROAD MEDICARE
WY
05
—
113459100
—
WY
01
—
308210
BLUE CROSS BLUE SHIELD
WY
01
—
95016
BLUE CROSS BLUE SHIELD MT
MT
Enumeration date
10/17/2005
Last updated
10/21/2020
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