Individual
DR. RODNEY ELLIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
328 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1660
(360) 435-6641
(360) 618-7663
Mailing address
25714 38TH AVE NW, STANWOOD, WA 98292-9335
(360) 770-1854
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22830
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189829
—
IA
Enumeration date
03/28/2006
Last updated
09/02/2010
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