Individual
GABRIEL DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
315 N WASHINGTON ST, VIBORG, SD 57070-2002
(605) 326-5201
(605) 326-5196
Mailing address
PO BOX 368, VIBORG, SD 57070-0368
(605) 326-5161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11074
SD
Other
Enumeration date
10/28/2014
Last updated
09/20/2018
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