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Individual

OWEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3118 BARRY TRACE CT, DUBLIN, OH 43017-2212
(614) 389-3063
(614) 389-3063
Mailing address
3118 BARRY TRACE CT, DUBLIN, OH 43017-2212
(614) 389-3063
(614) 389-3063

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28260
OH
207R00000X
Internal Medicine Physician
30-28260
OH

Other

Enumeration date
04/17/2014
Last updated
04/17/2014
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