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Individual

MR. DANIEL CHARLES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 HAWKINS DR, 51300 POMERANTZ PAVILION, IOWA CITY, IA 52242-1009
(319) 356-2205
Mailing address
200 HAWKINS DR, 51300 POMERANTZ PAVILION, IOWA CITY, IA 52242-1009
(319) 356-2205

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IA

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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