person
Dr. Colton Ronald Johnson, MD
Student in an Organized Health Care Education/Training Program in Walnut, Illinois
NPI 1740030063

Colton Ronald Johnson is a Student in an Organized Health Care Education/Training Program based in Walnut, IL. Colton Ronald Johnson practices in Walnut, IL and has the professional credentials of MD. The NPI Number for Colton Ronald Johnson is 1740030063 and holds a License No. (Illinois).

The current practice location address for Colton Ronald Johnson is 101 E Walnut St, Walnut, IL and can be reached out via phone at 815-876-0964.

Location: 101 E Walnut St, Walnut, IL, 61376-0092
person
Provider Profile Details
NPI Number
1740030063
Provider Name
Colton Ronald Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 E Walnut St, Walnut, IL, 61376-0092
Phone Number
815-876-0964
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
101 E Walnut St
City
State
Zip
61376-9348
Phone Number
815-876-0964
Fax Number
person
Provider Business Mailing Address Details
Address
101 E Walnut St
City
State
Zip
61376-9348
Phone Number
815-876-0964
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Illinois)
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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