Individual
DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1905 W PIERCE ST, CARLSBAD, NM 88220-4025
(575) 885-3161
Mailing address
5398 PERSHING AVE APT 3W, SAINT LOUIS, MO 63112-1788
(931) 302-1595
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT5790
NM
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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