Avery William Johnson, MD - San Diego, CA

Avery William Johnson, MD

Military Health Care Provider in San Diego, California

NPI 1780277194

Avery William Johnson is a Military Health Care Provider based in San Diego, CA. Avery William Johnson practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Avery William Johnson is 1780277194 and holds a License No. (California).

The current practice location address for Avery William Johnson is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-881-9169.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098

NPI Number

1780277194

Provider Name

Avery William Johnson

Credential

Provider Entity Type

Individual

Gender

Male

Address

34800 Bob Wilson Dr, San Diego, CA, 92134-1098

Phone Number

619-881-9169

Fax Number

Provider Enumeration Date

02/17/2021

Last Update Date

03/10/2024

Address

34800 Bob Wilson Dr

City

San Diego

State

California

Zip

92134-1098

Phone Number

619-881-9169

Fax Number

Address

34800 Bob Wilson Dr

City

San Diego

State

California

Zip

92134-1098

Phone Number

619-881-9169

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

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Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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