Individual
DR. CHRISTOPHER M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12339 STRATFORD DR, CLIVE, IA 50325-8148
(515) 263-9107
(515) 265-9888
Mailing address
12339 STRATFORD DR, CLIVE, IA 50325-8148
(515) 263-9107
(515) 265-9888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3625
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460287
—
IA
01
—
39020
IOWA BC/BS
IA
Enumeration date
01/23/2006
Last updated
09/12/2012
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