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Individual

ERIC L JOHNSON

Active
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Individual

ERIC L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M4932
ID
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
34447
MT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
M-4932
ID
207Q00000X
Family Medicine Physician
M-4932
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699718023
MT
Enumeration date
06/14/2006
Last updated
03/11/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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