Individual
MR. DOUGLAS EDWARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
202 W KANSAS AVE, ULYSSES, KS 67880-2034
(620) 356-5870
(620) 356-5867
Mailing address
202 W KANSAS AVE, ULYSSES, KS 67880-2034
(620) 356-5870
(620) 356-5867
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0527920
KS
207Q00000X
Family Medicine Physician
05-27920
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100321440C
—
KS
01
—
1316916638
NPI NUMBER
KS
Enumeration date
08/02/2005
Last updated
02/08/2021
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