Individual
DR. DANA KNIGHT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
504 N. CLEVELAND ST., MOUNT AYR, IA 50854-2201
(641) 464-3226
(641) 464-4420
Mailing address
504 N. CLEVELAND ST., MOUNT AYR, IA 50854-2201
(641) 464-3226
(641) 464-4420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
03071
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150094
—
IA
05
—
020036723
—
IA
05
—
244754206
—
MO
01
—
58933
BLUE CROSS
IA
01
—
8813
MIDLAND CHOICE
IA
01
—
IA0104
JOHN DEERE
IA
Enumeration date
01/12/2007
Last updated
11/23/2009
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