Individual
JEFFREY JOHN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-050714-L
PA
Other
Enumeration date
03/24/2006
Last updated
01/07/2009
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