Organization
JUSTIN T JOHNSON DPM INC.
Active
Other names
Ankle and Foot Specialists of Southern Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN THEO JOHNSON DPM (DIRECTOR)
(541) 482-4924
Entity
Organization
Contact information
Practice address
1661 HWY 99 N STE 201, ASHLAND, OR 97520-8900
(541) 482-4924
(541) 488-1732
Mailing address
1661 HWY 99 N STE 201, ASHLAND, OR 97520-8900
(541) 482-4924
(541) 488-1732
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00440
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336328624
NPI
OR
Enumeration date
03/29/2011
Last updated
08/19/2013
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