Individual
DR. CHRISTOPHER SHANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 CHIPPENHAM CT, ST GEORGE, UT 84770-6106
(208) 416-2932
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101276335
VA
2085R0202X
Diagnostic Radiology Physician
Primary
12975467-1205
UT
2085R0202X
Diagnostic Radiology Physician
TL2432
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760532634
—
NV
Enumeration date
01/11/2007
Last updated
12/05/2023
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