Individual
DR. GLENN DWIGHT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DARTMOUTH-HITCHCOCK MEDICAL CENTER, ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-8124
(603) 650-7898
Mailing address
DARTMOUTH-HITCHCOCK MEDICAL CENTER, ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-8124
(603) 650-7898
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
6028
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000094
—
NH
05
—
0006900
—
VT
Enumeration date
06/30/2006
Last updated
07/08/2007
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