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Individual

DAVID A.L. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 WELLSPRING RD, BIDDEFORD, ME 04005-9401
(207) 283-1126
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 282-9180

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017983
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093728677
ANTHEM
ME
05
1093728677
ME
05
433319099
ME
01
7318687
AETNA
ME
01
AA134371
HARVARD PILGRIM HEALTHCARE
ME
Enumeration date
08/14/2006
Last updated
11/27/2012
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