Individual
DR. CHARLES LOREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
358 N FERNDALE DR, BIGFORK, MT 59911-6513
(406) 837-3657
Mailing address
358 N FERNDALE DR, BIGFORK, MT 59911-6513
(406) 837-3657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4324
MT
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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