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Individual

JULIE Z JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
(216) 844-3781
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7251
(216) 358-2315

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000082
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000266429
ANTHEM
05
2306436
OH
01
430079709
MEDICARE RAILROAD
Enumeration date
05/18/2006
Last updated
01/28/2016
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