Individual
CHARLES E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1664 N. VIRGINIA ST., RENO, NV 89557
(775) 784-1110
(775) 329-4921
Mailing address
3115 HEATHERIDGE LANE, RENO, NV 89509
(775) 250-3675
(775) 329-4921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4556
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-16337
—
NV
Enumeration date
10/05/2006
Last updated
04/02/2020
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