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Matthew Johnson

NPI 1265845945 · on the registry since 2014

Practice

Address
504 S Hays Ave Apt 5
Carbondale, IL 62901
Phone
(320) 224-8581

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Male
Record last updated
2014-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois