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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GORDON RAY JOHNSON, D.O.

Active

GORDON RAY JOHNSON, D.O. is a Otolaryngology healthcare provider located in DAVENPORT, Iowa. NPI 1205893781 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · DAVENPORT, IA

Registration Details

NPI Number
1205893781
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2006 (20.322110303036 yrs)
Last Updated
Oct 16, 2012
License
1926 (IA)

Practice Information

Address
3906 LILLIE AVE.
SUITE 1
DAVENPORT, IA, 528064432
Browse IA providers · Browse ZIP 52806
Phone
5633913309
Fax
5633913630
Primary Specialty
Otolaryngology
207Y00000X

Other Otolaryngology Providers in DAVENPORT, IA

Name Credential NPI
RALPH R TYNER MD 1215916168
DR. DOUGLAS W. DVORAK MD 1346229762
MICHAEL S TOMEK MD 1912977232
RYAN JAMES KROGMANN D.O. 1659811701
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.