Search › Indiana › 207Q00000X
Philip Johnson, MD
NPI 1306975263 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2418 Lake Ave
Ft Wayne, IN 46805 - Phone
- (260) 422-4757
- Fax
- (260) 422-8375
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-31
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 Indiana