Individual
DR. LARRY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4450
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6004
OK
207RG0100X
Gastroenterology Physician
Primary
05983
IA
Other
Enumeration date
02/28/2015
Last updated
08/02/2022
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