Individual
CLIFFORD G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7616
(330) 433-1200
(330) 433-1666
Mailing address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7616
(330) 433-1200
(330) 433-1666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35051310
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35051310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669281
—
OH
Enumeration date
03/08/2006
Last updated
02/16/2012
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