Individual
DEEANNE JOY JOHNSON-ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(307) 358-9216
Mailing address
PO BOX 1450, DOUGLAS, WY 82633-1450
(307) 358-2122
(307) 358-9216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7739A
WY
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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