Individual
DR. DENISE AUDREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5436
(814) 333-5561
Mailing address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5436
(814) 333-5561
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD059320L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015873630002
—
PA
01
—
205074
UPMC
—
01
—
876176
BLUE SHIELD
—
Enumeration date
08/14/2006
Last updated
06/19/2014
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