Individual
MR. THEODORE RELDON JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1290 E. ALMOND AVE., MADERA, CA 93637-5606
(559) 661-6212
(559) 661-6216
Mailing address
1290 E. ALMOND AVE., MADERA, CA 93637-5606
(559) 661-6212
(559) 661-6216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A19140
CA
Other
Enumeration date
06/22/2006
Last updated
11/13/2012
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