person
Dr. Justin Theo Johnson, DPM
Foot & Ankle Surgery Podiatrist in Ashland, Oregon
NPI 1336328624

Justin Theo Johnson is a Foot & Ankle Surgery Podiatrist based in Ashland, OR and is specialized in Foot & Ankle Surgery. Justin Theo Johnson practices in Ashland, OR and has the professional credentials of DPM. The NPI Number for Justin Theo Johnson is 1336328624 and holds a License No. DPOO440 (Oregon).

The current practice location address for Justin Theo Johnson is 1661 Highway 99 N, Ashland, OR and can be reached out via phone at 541-482-4924 and via fax at 541-488-1732.

Location: 1661 Highway 99 N, Ashland, OR, 97520-8900
person
Provider Profile Details
NPI Number
1336328624
Provider Name
Justin Theo Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1661 Highway 99 N, Ashland, OR, 97520-8900
Phone Number
541-482-4924
Fax Number
541-488-1732
Provider Enumeration Date
11/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336328624 01 OR NPI
DP00440 01 OR STATE MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1661 Highway 99 N
City
State
Zip
97520-8900
Phone Number
541-482-4924
Fax Number
541-488-1732
person
Provider Business Mailing Address Details
Address
1661 Highway 99 N
City
State
Zip
97520-8900
Phone Number
541-482-4924
Fax Number
541-488-1732
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DPOO440 (Oregon)
Definition
Definition to come...
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