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Mr. Theodore Reldon Johnstone, MD
General Practice Physician in Madera, California
NPI 1487690608

Theodore Reldon Johnstone is a General Practice Physician based in Madera, CA. Theodore Reldon Johnstone practices in Madera, CA and has the professional credentials of MD. The NPI Number for Theodore Reldon Johnstone is 1487690608 and holds a License No. A19140 (California).

The current practice location address for Theodore Reldon Johnstone is 1290 E. Almond Ave., Madera, CA and can be reached out via phone at 559-661-6212 and via fax at 559-661-6216.

Location: 1290 E. Almond Ave., Madera, CA, 93637-5606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487690608
Provider Name
Theodore Reldon Johnstone
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1290 E. Almond Ave., Madera, CA, 93637-5606
Phone Number
559-661-6212
Fax Number
559-661-6216
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1290 E. Almond Ave.
City
Madera
State
California
Zip
93637-5606
Phone Number
559-661-6212
Fax Number
559-661-6216
person
Provider Business Mailing Address Details
Address
1290 E. Almond Ave.
City
Madera
State
California
Zip
93637-5606
Phone Number
559-661-6212
Fax Number
559-661-6216
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A19140 (California)
Definition
Definition to come...
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