Ian James Johnson, MD
Ian James Johnson, MD is a Pediatric Adolescent Medicine Physician in Patrick AFB, Florida. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1381 S Patrick Dr Patrick Afb 45 Medical GroupPatrick AFB, FL 32925-4162
Phone: (321) 494-8152
Fax: (321) 494-8533
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence G0440 (TX) |
|---|
Record details
| NPI number | 1265404990 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 6, 2006 |
| Last updated in NPPES | June 25, 2009 |
| Mailing address | 4066 Hield Rd Nw, Palm Bay, FL 32907-6307 |