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Individual
SCOTT W JOHNSON
Active
Individual
SCOTT W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-03-9762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429567
—
OH
Enumeration date
11/30/2005
Last updated
01/20/2021
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