Individual
MR. PHILLIP M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HIGHLANDER PT DR, STE 300, FLOYDS KNOBS, IN 47119
(812) 923-4106
(812) 923-4100
Mailing address
800 HIGHLANDER PT DR, STE 300, FLOYDS KNOBS, IN 47119
(812) 923-4106
(812) 923-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030222
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116730A
—
IN
Enumeration date
12/09/2005
Last updated
12/04/2020
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