Doctor Name: | MALCOLM C JOHNSON |
NPI Number: | 1003830316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00046336 |
Business Practice Address: | 1321 Colby Ave Everett, WA - 982011665 |
Business Phone Number: | 4252612000 |
Business Fax Number: | |
Mailing Address: | 1200 Gough Apt 17c, SAN FRANCISCO |
State: | CA |
Postal Code: | 94109 |
Phone Number: | 4047346252 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 08/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | MD00046336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |