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Individual
DR. RICHARD W JOHNSON
Active
Individual
DR. RICHARD W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340246100
—
FL
01
—
6326530001
MEDICARE - DME
FL
Enumeration date
06/01/2006
Last updated
04/06/2010
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