Individual provider · Type 1 NPI

Theodore Reldon Johnstone, MD

General Practice Physician · Madera, CA

NPI number 1487690608 Active

Practice location

1290 E. Almond Ave.
Madera, CA 93637-5606

Fax (559) 661-6216

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA19140 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1487690608

Theodore Reldon Johnstone, MD's National Provider Identifier is 1487690608, issued on Jun 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Madera, CA. The record was last updated on Nov 13, 2012.