Individual
ERIC L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
935 HIGHLAND BLVD STE 2180, BOZEMAN, MT 59715-6904
(406) 414-5512
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M4932
ID
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
34447
MT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
M-4932
ID
207Q00000X
Family Medicine Physician
M-4932
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699718023
—
MT
Enumeration date
06/14/2006
Last updated
03/11/2020
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