Individual
JERROLD E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
COMMUNITY HEALTH PARTNERS, 126 SOUTH MAIN STREET, LIVINGSTON, MT 59047
(406) 222-1111
Mailing address
COMMUNITY HEALTH PARTNERS, 126 SOUTH MAIN STREET, LIVINGSTON, MT 59047
(406) 222-1111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2963
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044098
—
MT
Enumeration date
10/06/2006
Last updated
07/08/2007
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