Individual
MR. DONALD HARVEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
691 MURPHY ROAD, SUITE 122, MEDFORD, OR 97504
(541) 772-5437
(541) 857-2852
Mailing address
691 MURPHY ROAD, SUITE 122, MEDFORD, OR 97504
(541) 772-5437
(541) 857-2852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD20373
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150070
—
OR
01
—
5403482
AETNA
—
01
—
838122000
BLUE CROSS OF OR
—
Enumeration date
05/17/2011
Last updated
05/17/2011
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