Individual
BENNETT M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21616 76TH AVE W STE 201A, EDMONDS, WA 98026-7512
(425) 673-3400
(425) 673-3401
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
MD60864242
WA
Other
Enumeration date
06/10/2014
Last updated
10/24/2025
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