| Kurt E Johnson Md A Medical Corporation | |
|
1026 Mangrove Ave Ste 10 Chico CA 95926-3509 | |
| (530) 899-9361 | |
| (530) 899-9841 |
| Full Name | Kurt E Johnson Md A Medical Corporation |
|---|---|
| Speciality | Emergency Medicine - Undersea And Hyperbaric Medicine |
| Location | 1026 Mangrove Ave Ste 10, Chico, California |
| Authorized Official Name and Position | Kurt E Johnson (PRESIDENT) |
| Authorized Official Contact | 5308999361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt E Johnson Md A Medical Corporation 1026 Mangrove Ave Ste 10 Chico CA 95926-3509 Ph: (530) 899-9361 | Kurt E Johnson Md A Medical Corporation 1026 Mangrove Ave Ste 10 Chico CA 95926-3509 Ph: (530) 899-9361 |
| NPI Number | 1265596282 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265596282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G59768 (California) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | G59768 (California) | Primary |
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