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Individual

DAVID N JOHNSTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
15190 COMMUNITY RD, GULFPORT, MS 39503-3485
(228) 831-0204
(228) 831-1868
Mailing address
12146 DEDEAUX RD, GULFPORT, MS 39503-5909
(228) 284-9442
(228) 831-1868

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R901362
MS

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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