Individual
DAVID CHARLES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 215, WASHINGTON, DC 20010-2927
(202) 291-9266
(202) 291-0886
Mailing address
106 IRVING ST NW, SUITE 215, WASHINGTON, DC 20010-2927
(202) 291-9266
(202) 291-0886
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD8015
DC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD8015
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200023381
RAILROAD MEDICARE
DC
01
—
4566-0001
CAREFIRST BLUE CROSS
DC
Enumeration date
10/02/2006
Last updated
05/06/2011
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