IndividualActive
Adam Johnson, M.D.
NPI 1043364797 · Emergency Medicine Physician · Jackson, WY
Provider details
- NPI number
- 1043364797
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 6447817-1205 (UT)
Practice location
625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 739-7250
Fax: (307) 739-7249
Mailing address
Po Box 428
Jackson, WY 83001-0428
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2021-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.