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Individual

CODY REID JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-2197
(440) 317-4700
Mailing address
4822 BROOM DR, OLNEY, MD 20832-3124
(440) 317-4700

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101258741
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/22/2014
Last updated
05/13/2024
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