Individual provider · Type 1 NPI
Clayton Gary Johnsen, D.P.M.
Foot & Ankle Surgery Podiatrist · San Bernardino, CA
NPI number
1003141318
Active
Practice location
1762 N Waterman Ave
San Bernardino, CA 92404-5130
Fax (909) 886-5542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | E4834 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO60139080 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in San Bernardino
About NPI 1003141318
Clayton Gary Johnsen, D.P.M.'s National Provider Identifier is 1003141318, issued on Oct 5, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 20, 2022.