Individual
DANIEL R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LDN, CEP
Contact information
Practice address
IHS PINON HEALTH CENTER NAVAJO RT 4, PINON, AZ 86510
(928) 674-7166
(928) 674-7705
Mailing address
P.O. DRAWER PH, CHINLE, AZ 86503
(928) 674-7166
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1053031
CA
133N00000X
Nutritionist
DX3643
MD
133V00000X
Registered Dietitian
Primary
1053031
CA
133V00000X
Registered Dietitian
DX3643
MD
Other
Enumeration date
07/10/2014
Last updated
08/25/2015
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