Individual
DERRICK LYNN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5166 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-5338
(520) 795-5382
Mailing address
5166 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-5338
(520) 795-5382
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
51576
AZ
Other
Enumeration date
06/23/2009
Last updated
06/02/2016
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