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Bruce Johnston
NPI 1003575747 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2000 Trident Way
San Diego, CA 92155 - Phone
- (513) 641-6644
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California