Individual
DR. JEFFREY THOMAS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 MCKAY CT STE 100, BOARDMAN, OH 44512-5786
(330) 758-4399
(330) 748-8995
Mailing address
835 MCKAY CT STE 100, BOARDMAN, OH 44512-5786
(330) 758-4399
(330) 748-8995
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35122786
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35122786
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180016
—
OH
Enumeration date
04/13/2010
Last updated
03/02/2021
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