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Individual

DR. DALE GILMAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
828 S CALIFORNIA ST, HELENA, MT 59601-5669
(406) 443-1579
Mailing address
828 S CALIFORNIA ST, HELENA, MT 59601-5669
(406) 443-1579

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3721
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03-7310
MT
Enumeration date
05/03/2007
Last updated
07/08/2007
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