Individual
DANIEL ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.000185
LA
207R00000X
Internal Medicine Physician
56690
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624526
—
MS
05
—
1005894
—
LA
Enumeration date
08/08/2007
Last updated
12/05/2012
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