Individual provider · Type 1 NPI
Ali N. Johnson, PODOLOGIST
Public Medicine Podiatrist · Bossier City, LA
NPI number
1457896789
Active
Practice location
450 Benton Rd, Suite D
Bossier City, LA 71111-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Medicine Podiatrist Primary | 213EP0504X | 0087654 (LA) |
Public Medicine Podiatrist: Definition to come...
About NPI 1457896789
Ali N. Johnson, PODOLOGIST's National Provider Identifier is 1457896789, issued on Dec 22, 2016. The primary taxonomy on file is Public Medicine Podiatrist (213EP0504X), and the practice location is in Bossier City, LA. The record was last updated on Dec 22, 2016.