Individual
SCOTT L JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 E 4TH ST STE 20, GILLETTE, WY 82716-4061
(307) 686-2600
(307) 686-2602
Mailing address
PO BOX 689, WRIGHT, WY 82732-0689
(307) 660-8699
(307) 686-2602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6083A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113554600
—
WY
Enumeration date
08/30/2005
Last updated
02/25/2021
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