Organization
RODNEY J JOHNSON, MD, PS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY JAMES JOHNSON M.D., PH.D. (PRESIDENT)
(425) 455-5440
Entity
Organization
Contact information
Practice address
1600 116TH AVE NE, SUITE 302, BELLEVUE, WA 98004-3014
(425) 455-5440
(425) 455-1431
Mailing address
1600 116TH AVE NE, SUITE 302, BELLEVUE, WA 98004-3014
(425) 455-5440
(425) 455-1431
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
00020967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1096478
—
WA
Enumeration date
03/20/2012
Last updated
03/20/2012
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