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Individual

DR. DAVID H JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18080 MAIN ST, BUCHANAN, VA 24066-5482
(540) 254-1239
Mailing address
5814 CAVALIER DR, ROANOKE, VA 24018-3870

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-231013
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010112907
VA
05
010194962
VA
05
1508837741
VA
Enumeration date
01/27/2006
Last updated
05/20/2008
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