Individual
DR. RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
(812) 485-8390
Mailing address
1934 SAINT LUCIA DR, NEWBURGH, IN 47630-9668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000465A
IN
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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