Individual
DR. GEORGE DAVID JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 779-5228
(541) 772-1533
Mailing address
825 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 779-5228
(541) 772-1533
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
20A8812
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
DO24988
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275335
—
OR
Enumeration date
04/06/2006
Last updated
10/19/2012
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