Individual
DR. EUGENE R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
676 GAME FARM RD, ELLENSBURG, WA 98926-5100
(509) 649-4707
Mailing address
676 GAME FARM RD, ELLENSBURG, WA 98926-5100
(509) 649-4707
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
267441D
WA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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