Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN JAMES JOHNSON, M.D.
ActiveIAN JAMES JOHNSON, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in PATRICK AFB, Florida. NPI 1265404990 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · PATRICK AFB, FL
Registration Details
- NPI Number
- 1265404990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2006 (20.550747872455 yrs)
- Last Updated
- Jun 25, 2009
- License
-
G0440 (TX)
Practice Information
- Address
-
1381 SOUTH PATRICK DR, PATRICK AFB45 MEDICAL GROUPPATRICK AFB, FL, 329254162Browse FL providers · Browse ZIP 32925
- Phone
- 3214948152
- Fax
- 3214948533
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
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.