Individual
DR. DAVID MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, DEPT RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
Mailing address
111 COLCHESTER AVE, DEPT RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
224406
NY
2085N0700X
Neuroradiology Physician
0101263416
VA
2085N0700X
Neuroradiology Physician
Primary
042-0011749
VT
2085R0202X
Diagnostic Radiology Physician
042-0011749
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02421850
—
NY
Enumeration date
02/24/2006
Last updated
04/23/2024
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