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Individual
DOUGLAS ROSS JOHNSON
Active
Individual
DOUGLAS ROSS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
35 121319
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35121319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220033608
RR MEDICARE PIN#
KY
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
64064181
—
KY
01
—
CB 5773
RR GROUP#
KY
Enumeration date
07/14/2006
Last updated
12/12/2017
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