Individual
DR. JUSTIN BRUCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4029 E. COLORADO BLVD, SPEARFISH, SD 57783
(605) 722-4795
(605) 722-4815
Mailing address
1410 9TH AVE, BELLE FOURCHE, SD 57717-2010
(605) 642-3582
(605) 642-3582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1046
SD
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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