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Organization
BRUCE E JOHNSON MD
Active
Organization
BRUCE E JOHNSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E JOHNSON M.D. (OWNER)
(804) 282-0044
Entity
Organization
Contact information
Practice address
7605 FOREST AVE, SUITE 316, RICHMOND, VA 23229-4938
(804) 282-0044
(804) 287-4317
Mailing address
7605 FOREST AVE, SUITE 316, RICHMOND, VA 23229-4938
(804) 282-0044
(804) 287-4317
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101027023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027122
CIGNA
VA
01
—
140760
ANTHEM BCBS
VA
01
—
2532231
AETNA
VA
01
—
48006
SENTARA
VA
01
—
57743
SOUTHERN HEALTH
VA
05
—
6215891
—
VA
01
—
93234
MAMSI
VA
Enumeration date
07/17/2008
Last updated
07/17/2008
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