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Individual

DR. DAVID PAUL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8791 CONFERENCE DR, FORT MYERS, FL 33919-5822
(239) 331-5566
(239) 247-5791
Mailing address
8791 CONFERENCE DR, FORT MYERS, FL 33919-5822
(239) 331-5566
(239) 247-5791

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00000049416
TN
2085R0204X
Vascular & Interventional Radiology Physician
MD0000049416
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME130575
FL

Other

Enumeration date
04/08/2011
Last updated
10/08/2020
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