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Individual

DR. NATHAN ALLEN JOHNSON

Active
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Individual

DR. NATHAN ALLEN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD433869
PA
2085R0202X
Diagnostic Radiology Physician
MT183509
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021877070001
PA
01
2045019
BLUE CROSS BLUE SHIELD
PA
05
3810013349
WV
Enumeration date
08/01/2007
Last updated
04/16/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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