MICHAEL JOHNSON

SCOTTS VALLEY, CA
NPI1053391243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G50420)
Enumeration Date2006-01-23
Last Update Date2012-01-04
Business Address
-- MICHAEL JOHNSON
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066-4202
Phone number: 831-458-6330
Mailing Address
-- MICHAEL JOHNSON
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: