Individual
STEPHEN CORNELIUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 45601-7502
(740) 779-4370
(740) 779-4379
Mailing address
4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 45601-7502
(740) 779-4370
(740) 779-4379
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
201215
LA
208800000X
Urology Physician
Primary
35.095471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082775
—
OH
Enumeration date
01/18/2007
Last updated
11/30/2020
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