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Individual
GID ROGER JOHNSON
Active
Individual
GID ROGER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E2641
TX
Other
Enumeration date
03/01/2007
Last updated
12/16/2008
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