Individual
DR. PHILIP EVAN PRESTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
127 LINDEN AVE, RUTLEDGE, PA 19070-2102
(610) 543-8888
(610) 544-7612
Mailing address
127 LINDEN AVE, RUTLEDGE, PA 19070-2102
(610) 543-8888
(610) 544-7612
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD026166E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975557
—
PA
Enumeration date
04/21/2006
Last updated
07/08/2007
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