Individual
MATTHEW BENJAMIN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 SHARON RD STE D, CIRCLEVILLE, OH 43113-1498
(740) 420-8422
(740) 420-6270
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466217
—
OH
Enumeration date
05/20/2014
Last updated
10/10/2022
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