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Individual

DR. CHRISTOPHER CULLEN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD OBGYN

Contact information

Practice address
1400 SENATE AVE, SUITE 102, RED OAK, IA 51566-1715
(712) 623-6335
(712) 623-3755
Mailing address
PO BOX 498, RED OAK, IA 51566-0498
(712) 623-7000
(712) 623-7224

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29118
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1226159
IA
Enumeration date
09/23/2005
Last updated
02/20/2012
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