Individual
DAVID F JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 N STATE ST, OSMOND, NE 68765-5722
(402) 748-3366
(402) 748-3367
Mailing address
PO BOX 459, OSMOND, NE 68765-0459
(402) 748-3366
(402) 748-3367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11373
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00335
BCBS
NE
05
—
47052771400
—
NE
Enumeration date
10/26/2005
Last updated
12/28/2007
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