Individual
PETER DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W 18TH ST, STE 100, SIOUX FALLS, SD 57104-9890
(605) 312-8500
(605) 312-8501
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4108
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6100182
—
SD
Enumeration date
06/27/2005
Last updated
03/25/2022
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