Individual
STEPHEN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1613 OAKWOOD ST, BEDFORD, VA 24523-1213
(540) 587-7810
(434) 200-1657
Mailing address
1613 OAKWOOD ST, BEDFORD, VA 24523-1213
(540) 587-7810
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101037503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010286638
—
VA
05
—
1003859687
—
VA
01
—
239950
ANTHEM
VA
Enumeration date
06/13/2006
Last updated
10/02/2014
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