Individual
DR. PAUL ELVIN JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 NW 6TH ST, GRANTS PASS, OR 97526-1094
(541) 476-7775
Mailing address
1600 NW 6TH ST, GRANTS PASS, OR 97526-1094
(541) 476-7775
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD28070
OR
Other
Enumeration date
03/19/2008
Last updated
01/11/2010
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