NPI 1851673008

Jacob V Johnson, DO

Practitioner Family Medicine Physician Rock Springs, WY

Practice location

Address: 3000 College Dr, Rock Springs, WY 82901-4202
Phone: (307) 212-7708
Fax: (307) 352-8148
Mailing address: PO Box 1359, Rock Springs, WY 82902-1359

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9086A (WY)

Other Family Medicine providers in Wyoming →

Registry record

NPI: 1851673008
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2011
Record last updated: 22 Jan 2020

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.