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Individual

DR. STEPHANIE DIANA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
793 W STATE ST, COPA PATHOLOGY DEPT, COLUMBUS, OH 43222-1551
(614) 234-1300
(614) 234-2931
Mailing address
2009 ANDOVER RD, COLUMBUS, OH 43212
(614) 208-7370
(614) 234-6278

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.099455
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000802611
ANTHEM-OH (COPA)
OH
01
000000808220
ANTHEM-OH (DPA)
OH
Enumeration date
08/18/2008
Last updated
07/13/2017
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