Individual
TODD M JOHNSON
Active
Individual
TODD M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01055574A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015669
—
IN
01
—
959090188
MEDICARE PTAN
IN
01
—
Q00523653
RAILROAD PTAN
IN
Enumeration date
12/14/2005
Last updated
05/21/2024
Update your record
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