Individual
MYLES ALEXANDER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EP-C
Contact information
Practice address
3600 W BROAD ST, RICHMOND, VA 23230-4915
(804) 585-6723
Mailing address
11420 SETHWARNER DR, GLEN ALLEN, VA 23059-4802
(804) 929-0405
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
VA
224Y00000X
Clinical Exercise Physiologist
Primary
—
IN
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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