NPI 1124362066

Gordon R Johnson D O P C

Organisation Otolaryngology Physician Davenport, IA

Practice location

Address: 3906 Lillie Ave Suite 1, Davenport, IA 52806-4434
Phone: (563) 391-3309

Authorised official

Name: Gordon R Johnson
Title: President
Phone: (563) 391-3309

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 1926 (IA)

Other Otolaryngology providers in Iowa →

Registry record

NPI: 1124362066
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.