Individual
BRUCE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 MAPLE ST, ASHLAND, OR 97520-1515
(541) 482-9571
Mailing address
241 MAPLE ST, ASHLAND, OR 97520-1515
(541) 482-9571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08105
OR
Other
Enumeration date
08/17/2006
Last updated
07/09/2007
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