Organization
CRAIG E. JOHNSON MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG E JOHNSON MD (PRESIDENT)
(510) 796-3498
Entity
Organization
Contact information
Practice address
2299 MOWRY AVE, SUITE 2A, FREMONT, CA 94538-1621
(510) 796-3498
(510) 794-4109
Mailing address
2299 MOWRY AVE, SUITE 2A, FREMONT, CA 94538-1621
(510) 796-3498
(510) 794-4109
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G86787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G867870
—
CA
Enumeration date
03/02/2007
Last updated
08/22/2020
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