Organization
JON J JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON J JOHNSON MD (PRESIDENT)
(406) 257-8992
Entity
Organization
Contact information
Practice address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3913
RAILROAD MEDICARE
MT
Enumeration date
06/12/2007
Last updated
08/22/2020
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