Individual
DR. DAVID ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070
(985) 785-6242
(985) 785-3686
Mailing address
PO BOX 2123, GRETNA, LA 70054
(504) 305-4790
(504) 305-4790
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12764R
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD12764R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543802
—
LA
Enumeration date
11/14/2006
Last updated
02/03/2011
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