Individual
MR. DAVID WARREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-A
Contact information
Practice address
21083 EMPEROR PHILLIPS LN, SILVERHILL, AL 36576-3353
(251) 945-1076
Mailing address
21083 EMPEROR PHILLIPS LN, SILVERHILL, AL 36576-3353
(251) 945-1076
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0915A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08065JO
BLUE CROSS BLUE SHIELD PR
MN
01
—
2187
CERTIFIED HEARING AID DIS
MN
01
—
5088
REGISTERED AUDIOLOGIST
MN
Enumeration date
03/27/2007
Last updated
07/08/2007
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