Individual
DR. WALTER KIP JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 PRESTON AVE, IONE, CA 95640-9158
(209) 742-6144
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 754-6275
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G32232
CA
Other
Enumeration date
10/16/2009
Last updated
03/03/2023
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