Individual
MR. EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2080 CHILD ST, NAVAL AIR STATION, JACKSONVILLE, FL 32214-5005
(904) 542-3500
(904) 542-4125
Mailing address
2080 CHILD ST, NAVAL AIR STATION, JACKSONVILLE, FL 32214-5005
(904) 542-3500
(904) 542-4125
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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