Individual
PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11701072
UT
207X00000X
Orthopaedic Surgery Physician
71214
WI
Other
Enumeration date
04/10/2014
Last updated
04/04/2022
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