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Individual

DR. PETER A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
112 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 542-1995
(540) 542-1996
Mailing address
112 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 542-1995
(540) 542-1996

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101034967
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006503586
VA
01
1154349975
GROUP NPI
VA
01
C09789
MEDICARE/GROUP
VA
Enumeration date
06/27/2006
Last updated
01/18/2011
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