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Individual
SAMUEL ELAN JOHNSON
Active
Individual
SAMUEL ELAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A6457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6457
OSTEOPATHIC MEDICAL LIC.
—
Enumeration date
03/19/2007
Last updated
02/10/2017
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