Individual
DR. DAVID PAUL JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
804 KENYON ROAD, STE A PHYSICIAN'S OFFICE BLDG, WEST, FORT DODGE, IA 51501-5742
(515) 574-6120
(515) 574-6135
Mailing address
804 KENYON ROAD, STE A PHYSICIAN'S OFFICE BLDG, WEST, FORT DODGE, IA 51501-5742
(515) 574-6120
(515) 574-6135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00665
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10207
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/12/2006
Last updated
07/08/2007
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