Individual
ORDIA DEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S HAZEL ST, PINE BLUFF, AR 71603-6860
(870) 534-5533
(870) 534-5535
Mailing address
4800 S HAZEL ST, PINE BLUFF, AR 71603-6860
(870) 534-5533
(870) 534-5535
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
910131294
AR
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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