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Dr. Craig Tyrrell Johnston JR., DO
Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania
NPI 1477295244

Craig Tyrrell Johnston JR. is a Student in an Organized Health Care Education/Training Program based in Erie, PA. Craig Tyrrell Johnston JR. practices in Erie, PA and has the professional credentials of DO. The NPI Number for Craig Tyrrell Johnston JR. is 1477295244 and holds a License No. OT021452 (Pennsylvania).

The current practice location address for Craig Tyrrell Johnston JR. is 311 W 24Th St Ste 305, Erie, PA and can be reached out via phone at 814-454-4484.

Location: 311 W 24Th St Ste 305, Erie, PA, 16506-3565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477295244
Provider Name
Craig Tyrrell Johnston JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
311 W 24Th St Ste 305, Erie, PA, 16506-3565
Phone Number
814-454-4484
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311 W 24Th St Ste 305
City
Erie
State
Pennsylvania
Zip
16502-2666
Phone Number
814-454-4484
Fax Number
person
Provider Business Mailing Address Details
Address
311 W 24Th St Ste 305
City
Erie
State
Pennsylvania
Zip
16502-2666
Phone Number
814-454-4484
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OT021452 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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