Individual
DR. BRUCE ROY JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
Mailing address
17308 97TH AVENUE CT E, PUYALLUP, WA 98375-9682
(253) 840-5462
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DE00006627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149889
LABOR & INDUSTRIES
WA
01
—
91111635510
KITSAP PHYSICIAN SERVICE
VA
01
—
JO6014
REGENCE
WA
Enumeration date
06/14/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us