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Individual

ABIODUN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, ATTN: CREDENTIALING, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
K9813
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100216060A
OK
05
111735001
TX
05
111735002
TX
05
L6308
NM
Enumeration date
07/07/2006
Last updated
12/05/2014
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