Individual
GID ROGER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 SWEETBRIAR ST, LONGVIEW, TX 75604-2654
(903) 297-6000
(903) 297-6250
Mailing address
1608 SWEETBRIAR ST, LONGVIEW, TX 75604-2654
(903) 297-6000
(903) 297-6250
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E2641
TX
Other
Enumeration date
03/01/2007
Last updated
12/16/2008
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