Individual
DUSTIN LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8034
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.128174
OH
2085R0202X
Diagnostic Radiology Physician
37954
SC
2085R0202X
Diagnostic Radiology Physician
MC-209
GU
Other
Enumeration date
06/09/2010
Last updated
03/25/2024
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