Individual
BARRY K JOHNSON
Active
Individual
BARRY K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G65572
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G65572
CA
208VP0000X
Pain Medicine Physician
G65572
CA
208VP0014X
Interventional Pain Medicine Physician
G65572
CA
Other
Enumeration date
10/25/2006
Last updated
01/05/2016
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