Individual
DARRYL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST VAUGHN AVE, RUSTON, LA 71270
(318) 251-0620
(318) 251-0621
Mailing address
400 EAST VAUGHN AVE, RUSTON, LA 71270
(318) 251-0620
(318) 251-0621
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9808
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1096342
—
LA
Enumeration date
07/29/2005
Last updated
07/08/2007
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