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Individual

DR. JAMES A JOHNSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 S SHIRLINGTON RD, SUITE 102, ARLINGTON, VA 22206-3601
(703) 914-8000
(703) 642-3487
Mailing address
5520 CHEROKEE AVE, SUITE 215, ALEXANDRIA, VA 22312-2319
(703) 914-8000
(703) 642-3487

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101045781
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6058230
VA
Enumeration date
03/10/2006
Last updated
07/08/2007
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