Organization
SUASOR MENTIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ARNOLD JOHNSON M. D. (OWNER)
(509) 301-6384
Entity
Organization
Contact information
Practice address
362 S 3RD AVE, WALLA WALLA, WA 99362-3037
(509) 301-6384
(509) 529-0795
Mailing address
PO BOX 340, WALLA WALLA, WA 99362-0009
(509) 301-6384
(509) 529-0795
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00021214
WA
Other
Enumeration date
09/18/2007
Last updated
09/19/2007
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