Individual
RACHEL SAMPLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-7630
(513) 475-7636
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 475-7630
(513) 475-7636
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35135835
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
04/01/2019
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