Individual
MR. DAVID P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
165 POPLAR STREET, SUITE #1, MILLINOCKET, ME 04462
(207) 723-2034
(207) 723-3006
Mailing address
200 SOMERSET STREET, MILLINOCKET, ME 04462
(207) 723-5161
(207) 564-4370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1157
ME
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/10/2009
Last updated
09/10/2013
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