Individual
LARRY HUGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7643 OAK PARK PL NW, BREMERTON, WA 98311-9175
(360) 692-2399
Mailing address
7643 OAK PARK PL NW, BREMERTON, WA 98311-9175
(360) 692-2399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2001-01071
NC
207Q00000X
Family Medicine Physician
2003-0111
NM
207Q00000X
Family Medicine Physician
35-04-0609-J
OH
207Q00000X
Family Medicine Physician
36892
KY
207Q00000X
Family Medicine Physician
E-4454
AR
207Q00000X
Family Medicine Physician
Primary
MD00037208
WA
Other
Enumeration date
11/09/2005
Last updated
08/11/2008
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