Whalio Doctors

NPI 1164424438

Clifford Q Johnson,jr, MD

Practitioner Otolaryngology Physician Knoxville, TN

Practice location

Address
9430 Park West Blvd STE 330, Knoxville, TN 37923-4203
Phone
(865) 693-6065
Fax
(865) 531-6325
Mailing address
PO Box 31547, Knoxville, TN 37930-1547

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 7979 (TN)

Registry record

NPI
1164424438
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2005
Record last updated
5 Nov 2007

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.