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Individual

DR. SALLY SPERRING JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
923 N CALIFORNIA ST, INDIANAPOLIS, IN 46202-3047
(812) 360-7286
Mailing address
923 N CALIFORNIA ST, INDIANAPOLIS, IN 46202-3047
(812) 360-7286

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01035224A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
01035224A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01035224A
INDIANA LICENSE
IN
01
01035224B
CSR
IN
05
100316970
IN
Enumeration date
07/05/2006
Last updated
03/13/2026
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