Individual
DARRYL C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1015 DUFF AVE, AMES, IA 50010-5733
(515) 239-4414
Mailing address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02790
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035513
HEALTH ALLIANCE
—
01
—
19834
IOWA HEALTH SOLUTIONS
—
05
—
3097246
—
IA
01
—
40048
WELLMARK BC/BS
—
01
—
4796890002
DMERC
—
01
—
IA0139
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/22/2005
Last updated
05/16/2023
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