GORDON R JOHNSON D O P C

DAVENPORT, IA
NPI1124362066
Entity TypeOrganization
Authorized ContactGORDON R JOHNSON
President
563-391-3309
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IA  1926)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
GORDON R JOHNSON D O P C
3906 LILLIE AVE SUITE 1
DAVENPORT, IA 52806-4434
Phone number: 563-391-3309
Mailing Address
GORDON R JOHNSON D O P C
3906 LILLIE AVE SUITE 1
DAVENPORT, IA 52806-4434
Phone number: