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Individual

DR. ROGER ALAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
308 S JOHNSON, VISALIA, CA 93291
(559) 734-1171
(559) 734-6849
Mailing address
308 S JOHNSON, VISALIA, CA 93291
(559) 734-1171
(559) 734-6849

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1217
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3974531
CA
Enumeration date
09/28/2006
Last updated
02/03/2010
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