Individual
DR. SPENCER FRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 STAMP RD, SUITE 314, TEMPLE HILLS, MD 20748-6716
(301) 702-0047
(301) 702-0841
Mailing address
11703 AMER CT, FORT WASHINGTON, MD 20744-5953
(301) 282-8751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17232
DC
2084P0800X
Psychiatry Physician
Primary
D051645
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011032300
—
DC
05
—
186100000
—
MD
Enumeration date
01/02/2007
Last updated
12/10/2012
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