Individual
DR. ROY LEE JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 257-0770
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 438-8910
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.094004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2987111
—
OH
Enumeration date
05/24/2007
Last updated
05/05/2020
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