Individual
MR. CONWAY BRYAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-6468
(937) 399-0697
Mailing address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-6468
(937) 399-0697
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-00-0506
OH
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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