Individual
JEFFREY A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 FOX RUN PKWY, STE 200, YANKTON, SD 57078-5370
(605) 260-2100
(605) 260-2104
Mailing address
2525 FOX RUN PKWY, STE 200, YANKTON, SD 57078-5370
(605) 260-2100
(605) 260-2104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4647
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5609960
—
SD
Enumeration date
01/12/2006
Last updated
03/29/2017
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