Individual
MR. ELSTON ROYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
(614) 544-1751
Mailing address
71 BILLS BR, LOGAN, WV 25601-3141
(304) 590-3417
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34.013504
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2015
Last updated
07/26/2021
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