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Individual

DR. CRAIG R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
960 E GREEN ST, SUITE 292, PASADENA, CA 91106-2401
(626) 449-4494
(626) 449-4474
Mailing address
960 E GREEN ST, SUITE 292, PASADENA, CA 91106-2401
(626) 449-4494
(626) 449-4474

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G72241
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G722410
CA
01
P00758190
RAILROAD MEDICARE
CA
Enumeration date
05/17/2006
Last updated
01/27/2010
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