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Individual

DR. THOMAS EDWARD JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, IDE

Contact information

Practice address
350 GREEN VALLEY RD, EL DORADO HILLS, CA 95762-3927
(916) 933-6700
(916) 933-2253
Mailing address
350 GREEN VALLEY RD, EL DORADO HILLS, CA 95762-3927
(916) 933-6700
(916) 358-3929

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
20642
CA
111NX0100X
Occupational Health Chiropractor
Primary
20642
CA

Other

Enumeration date
08/06/2013
Last updated
08/06/2013
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