Gary A Johnson
Gynecologic Oncologist
8940 N Wood Sage Rd
Peoria
, Illinois 61615-7822
Gary A Johnson
Gynecologic Oncologist
8940 N Wood Sage Rd
Peoria
, Illinois 61615-7822
(309) 243-3274
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Gary A Johnson
- 8940 N Wood Sage Rd
- Peoria, IL
- Zip : 61615-7822
- Fax : (309) 243-3274
- Phone : (309) 243-3000
Second Address
- Gary A Johnson
- 8940 N Wood Sage Rd
- Peoria, IL
- Zip : 61615-7822
- Fax : (309) 243-3000
- Phone : (309) 243-3000
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FAQs
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What type of doctor is Gary A Johnson
In what state does Gary A Johnson practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 036.12058 | IL |
| N | 207VX0201X | Gynecologic Oncologist | 04-34519 | KS |
| N | 207VX0201X | Gynecologic Oncologist | 18538 | OK |
| N | 207VX0201X | Gynecologic Oncologist | 2012029926 | MO |
National Provider Identifier
| NPI | 1083682660 |
|---|---|
| Provider Name | Gary A Johnson |
| First Address | Peoria, IL 61615-7822 |
| Second Address | Peoria, IL 61615-7822 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 10/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.