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Individual

DR. BOBBY JOHNSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 475-8787
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-5506

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.058352
IL
208600000X
Surgery Physician
Primary
35134333
OH

Other

Enumeration date
06/17/2010
Last updated
08/07/2018
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