Individual
EZEKIEL GUY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5049 REGENCY DR, KLAMATH FALLS, OR 97603-9033
(541) 539-8843
Mailing address
5049 REGENCY DR, KLAMATH FALLS, OR 97603-9033
(541) 539-8843
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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