Organization
APPLEWOOD WOMEN'S CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY T JOHNSON M.D. (PRESIDENT)
(541) 884-6374
Entity
Organization
Contact information
Practice address
2301 MOUNTAIN VIEW BLVD, SUITE A, KLAMATH FALLS, OR 97601-1137
(541) 884-6374
Mailing address
2301 MOUNTAIN VIEW BLVD, SUITE A, KLAMATH FALLS, OR 97601-1137
(541) 884-6374
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD24075
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500609318
—
OR
Enumeration date
06/02/2009
Last updated
11/30/2011
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