Individual
CASEY A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
260 HOSPITAL DR, SUITE 204, UKIAH, CA 95482-4568
(707) 463-8032
Mailing address
260 HOSPITAL DR, 110, UKIAH, CA 95482-4568
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A142063
CA
Other
Enumeration date
08/26/2011
Last updated
08/11/2016
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