Individual provider · Type 1 NPI
Peter James Johnson, D.P.M.
Foot & Ankle Surgery Podiatrist · Mahanoy City, PA
NPI number
1114966264
Active
Practice location
107 W Centre St
Mahanoy City, PA 17948-2605
Mailing address
509 Oak St
Jim Thorpe, PA 18229-2110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | SC005660 (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC005660 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1114966264
Peter James Johnson, D.P.M.'s National Provider Identifier is 1114966264, issued on Jun 5, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mahanoy City, PA. The record was last updated on Mar 7, 2023.