NPI 1003575747

Bruce Johnston

Practitioner Athletic Trainer San Diego, CA

Practice location

Address: 2000 Trident Way, San Diego, CA 92155-5599
Phone: (513) 641-6644
Mailing address: 3398 N Sierra Springs Dr, Tucson, AZ 85712-6671

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATR-001165 (AZ)

Other Specialist/Technologist providers in California →

Registry record

NPI: 1003575747
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2021
Record last updated: 9 Dec 2021

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.