Individual
DR. ANTOINE D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W. 4TH STREET, ABERDEEN, WA 98520
(360) 538-7292
(360) 533-7135
Mailing address
PO BOX 149, ABERDEEN, WA 98520-0063
(360) 538-7292
(360) 533-2566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8270787
—
WA
Enumeration date
04/27/2006
Last updated
07/08/2007
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