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Dr. Richard G Johnson JR., MD
Specialist in Glendora, California
NPI 1083691182

Richard G Johnson JR. is a Specialist based in Glendora, CA. Richard G Johnson JR. practices in Glendora, CA and has the professional credentials of MD. The NPI Number for Richard G Johnson JR. is 1083691182 and holds a License No. G45973 (California).

The current practice location address for Richard G Johnson JR. is 415 W Carroll Ave, Glendora, CA and can be reached out via phone at 626-914-5219 and via fax at 626-914-7846.

Location: 415 W Carroll Ave, Glendora, CA, 91741-4208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083691182
Provider Name
Richard G Johnson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 W Carroll Ave, Glendora, CA, 91741-4208
Phone Number
626-914-5219
Fax Number
626-914-7846
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G459730 05 CA
institution
Provider Business Practice Location Address Details
Address
415 W Carroll Ave
City
Glendora
State
California
Zip
91741-4208
Phone Number
626-914-5219
Fax Number
626-914-7846
person
Provider Business Mailing Address Details
Address
415 W Carroll Ave
City
Glendora
State
California
Zip
91741-4208
Phone Number
626-914-5219
Fax Number
626-914-7846
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G45973 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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