Organization
DARRYL C JOHNSON DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL C JOHNSON (PHYSICIAN)
(563) 355-7770
Entity
Organization
Contact information
Practice address
1912 MIDDLE RD, SUITE 200, BETTENDORF, IA 52722-7600
(563) 355-7770
(563) 355-7997
Mailing address
1912 MIDDLE RD, SUITE 200, BETTENDORF, IA 52722-7600
(563) 355-7770
(563) 355-7997
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02790
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4097246
—
IA
Enumeration date
08/16/2011
Last updated
08/29/2012
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