Search › Washington › 122400000X
Ryan Johnson
NPI 1467648105 · on the registry since 2007
Practice
- Address
- 1225 Meade Ave
Prosser, WA 99350 - Phone
- (509) 307-3217
- Organisation at this address
- Brooks & Brooks
Mountain Lake Denture Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-17
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 Washington