| Ian James Johnson, MD | |
|
1381 South Patrick Dr, Patrick Afb, 45 Medical Group, Patrick Afb, FL 32925-4162 | |
| (321) 494-8152 | |
| (321) 494-8533 |
| Full Name | Ian James Johnson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 1381 South Patrick Dr, Patrick Afb, Patrick Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265404990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | G0440 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian James Johnson, MD 4066 Hield Rd Nw, Palm Bay, FL 32907-6307 Ph: (321) 674-0932 | Ian James Johnson, MD 1381 South Patrick Dr, Patrick Afb, 45 Medical Group, Patrick Afb, FL 32925-4162 Ph: (321) 494-8152 |
Marie Wilson-marshall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 708-481-6308 Fax: 708-481-0067 | |
Dr. Travis M Sloan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8261 |