SearchWyoming152W00000X

Bruce Johnson, O.D

NPI 1366654899 · on the registry since 2007 · sole proprietor

Practice

Address
2610 South Douglas Highway
Suite 190
Gillette, WY 82718
Phone
(307) 682-7861

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Wyoming