Individual
DR. GARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 17TH, BRIGHAM BLDG./MAIL STOP 316, RENO, NV 89557-0001
(775) 784-1533
(775) 784-8075
Mailing address
401 W 2ND ST, 227, RENO, NV 89503-5345
(775) 784-1223
(775) 327-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4850
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016300
—
NV
Enumeration date
08/12/2006
Last updated
02/08/2011
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