Individual
DEREK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
Mailing address
2050 HONEY RIDGE DR, RENO, NV 89511-8115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7849
MT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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