# DARRYL C JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720084916
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02790 | IA | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 05/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 035513 | HEALTH ALLIANCE | — |
| 01 | — | 19834 | IOWA HEALTH SOLUTIONS | — |
| 05 | — | 3097246 | — | IA |
| 01 | — | 40048 | WELLMARK BC/BS | — |
| 01 | — | 4796890002 | DMERC | — |
| 01 | — | IA0139 | JOHN DEERE HEALTH PLAN | — |