Individual
DR. JOHN THOMAS JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 BAKES LANE, PINEDALE, WY 82941
(307) 367-2408
Mailing address
P.O.B. 1877, PINEDALE, WY 82941
(307) 367-2408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1826A
WY
Other
Enumeration date
09/03/2009
Last updated
09/18/2009
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