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Dr. Walter Kip Johnson, MD
General Practice Physician in Ione, California
NPI 1780919282

Walter Kip Johnson is a General Practice Physician based in Angels Camp, CA. Walter Kip Johnson practices in Ione, CA and has the professional credentials of MD. The NPI Number for Walter Kip Johnson is 1780919282 and holds a License No. G32232 (California).

The current practice location address for Walter Kip Johnson is 305 Preston Ave, Ione, CA and can be reached out via phone at 209-742-6144.

Location: 305 Preston Ave, Ione, CA, 95222-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780919282
Provider Name
Walter Kip Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
305 Preston Ave, Ione, CA, 95222-0939
Phone Number
209-742-6144
Fax Number
Provider Enumeration Date
10/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 Preston Ave
City
Ione
State
California
Zip
95640-9158
Phone Number
209-742-6144
Fax Number
person
Provider Business Mailing Address Details
Address
305 Preston Ave
City
Ione
State
California
Zip
95640-9158
Phone Number
209-742-6144
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G32232 (California)
Definition
Definition to come...
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