Individual
DR. MICHAEL DOUGLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9924 MIDLOTHIAN TPKE, RICHMOND, VA 23235-4814
(804) 320-9050
(804) 320-9048
Mailing address
9924 MIDLOTHIAN TPKE, RICHMOND, VA 23235-4814
(804) 320-9050
(804) 320-9048
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104000670
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070327
ANTHEM
VA
Enumeration date
08/10/2005
Last updated
11/06/2013
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