Individual
MR. ANTHONY REED JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
15832 34TH AVE NE, LAKE FOREST PARK, WA 98155-6543
(206) 361-4700
Mailing address
15832 34TH AVE NE, LAKE FOREST PARK, WA 98155-6543
(206) 361-4700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00002015
WA
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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