Individual
DR. ROYAL GARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
944 W KAWAILANI ST, HILO, HI 96720-3218
(808) 959-9151
(808) 522-4345
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(423) 310-1642
(706) 270-0487
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD-6183
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000079020
HMSA
HI
05
—
059564 01
—
HI
01
—
6963444
UHA
HI
Enumeration date
11/21/2006
Last updated
12/21/2022
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