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Individual

DR. JEFFREY FORDHAM JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
(510) 981-5265
Mailing address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
(510) 981-5265

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
45624-020
WI
2084P0800X
Psychiatry Physician
Primary
A93824
CA

Other

Enumeration date
10/12/2005
Last updated
11/01/2012
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