Individual
DR. DOUGLAS R JOHNSON
Active
Individual
DR. DOUGLAS R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO150688
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048884
—
OR
01
—
93-0937095
CURRY HEALTH DISTRICT TAX ID
OR
01
—
R0000ZGBDG
CURRY MEDICAL CENTER - MEDICARE PART B
OR
Enumeration date
08/31/2006
Last updated
09/01/2016
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