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Individual

DR. RENEE LYN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 15TH AVE S STE 206, GREAT FALLS, MT 59405-4334
(406) 727-2121
(406) 452-5397
Mailing address
401 15TH AVE S STE 206, GREAT FALLS, MT 59405-4334
(406) 727-2121
(406) 452-5397

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
7771250-1250
UT
208000000X
Pediatrics Physician
MD2012-0854
NM
208000000X
Pediatrics Physician
MED-PHYS-LIC-76293
MT
208000000X
Pediatrics Physician
Primary
MED-PHYS-LIC-76923
MT

Other

Enumeration date
03/25/2009
Last updated
07/26/2022
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