Individual
RANDY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 493-4443
(330) 493-8677
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 456-2695
(330) 588-8605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-087639
OH
207P00000X
Emergency Medicine Physician
35087639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2662533
—
OH
Enumeration date
06/27/2006
Last updated
07/01/2022
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