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Individual

SCOTT E JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-1623
(740) 568-5355
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.098248
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061846
OH
05
3810022171
WV
Enumeration date
10/13/2006
Last updated
07/14/2020
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