Gordon Johnson, D.O

NPI 1205893781 · on the registry since 2006

Practice

Address: 3906 Lillie Ave.
Suite 1
Davenport, IA 52806
Phone: (563) 391-3309
Fax: (563) 391-3630
Organisation at this address: Amity Point, Llc
Gordon R Johnson D O P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207Y00000X
207Y00000X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-16

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 Iowa