(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003558305
Provider Name: AUSTIN DEAN JOHNSON MD
Entity Type: Individual
Taxonomy Code: 390200000X
Specialty: Student in an Organized Health Care Education/Training Program
License Number:
Most Important Dates
Enumeration Date: 04/08/2022
Last Updated: 04/08/2022
Provider Practice Location
11234 ANDERSON ST
LOMA LINDA
CA
923542804
Practice Location Phone/Fax
Phone: 9095586491
Fax:
Provider Mailing Location
11234 ANDERSON STREET
GME OFFICE WESTERLY SUITE C
LOMA LINDA
CA
923542804
Provider Mailing Phone/Fax
Phone: 9095586491
Fax: