Individual
FRANK LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 475-4379
(360) 475-4512
Mailing address
6410 BUFFALOBERRY LN, BOZMAN, MT 59718
(406) 586-1857
(360) 475-4512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4991
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050184
—
MT
Enumeration date
03/25/2006
Last updated
08/14/2013
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