Individual
EDWARD P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 539-3555
(724) 539-1966
Mailing address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 539-3555
(724) 804-1104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD065592L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017015480001
—
PA
Enumeration date
03/19/2007
Last updated
01/29/2025
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