Individual
DAVID B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3911 AVENUE B, SUITE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2101
Mailing address
3911 AVENUE B, SUITE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2101
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0422461
KS
207RH0003X
Hematology & Oncology Physician
Primary
27303
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113230D
—
KS
01
—
1286700002
DMERC REGION 1
KS
01
—
1286700003
DMERC REGION 1
KS
01
—
1286700004
DMERC REGION 1
KS
01
—
1286700005
DMERC REGION 1
KS
01
—
1286700006
DMERC REGION 1
KS
01
—
1286700007
DMERC REGION 1
KS
01
—
1286700008
DMERC REGION 1
KS
01
—
1286700009
DMERC REGION 1
KS
01
—
1286700011
DMERC REGION 1
KS
01
—
1286700012
DMERC REGION 1
KS
01
—
1286700013
DMERC REGION 1
KS
01
—
1286700015
DMERC REGION 1
KS
01
—
12867010010
DMERC REGION 1
KS
Enumeration date
04/03/2006
Last updated
04/21/2014
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