Individual
MR. PAUL E JOHNSON
Active
Individual
MR. PAUL E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20020304
NM
2085R0202X
Diagnostic Radiology Physician
Primary
MD2002-0304
NM
2085R0204X
Vascular & Interventional Radiology Physician
MD2002-0304
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82923884
—
NM
Enumeration date
06/13/2006
Last updated
12/30/2019
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