Individual
MR. DOUGLAS W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 ELIZABETH PL, 4TH FLOOR, DAYTON, OH 45408-1445
(937) 221-7001
(937) 224-5307
Mailing address
3995 WILLOW RUN DR, BEAVERCREEK, OH 45430-1552
(937) 429-7132
(937) 224-5307
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-00-0344
OH
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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