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Individual

DR. RICHARD B. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(757) 719-1046
(804) 734-9312
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(757) 719-1046
(804) 734-9312

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038330
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5857627
VA
Enumeration date
04/25/2006
Last updated
09/30/2010
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