Individual
MR. JOHN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276
Mailing address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1041
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721238
BC
WV
05
—
0051755000
—
WV
Enumeration date
10/17/2005
Last updated
08/06/2024
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