Individual
CLIFFORD PAUL JOHNSON
Active
Individual
CLIFFORD PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9501288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8946064
—
NC
01
—
P01030030
MEDICARE RR
NC
Enumeration date
05/25/2006
Last updated
10/11/2016
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