Individual
DR. AVERY WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-0196
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 881-9169
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101275950
VA
Other
Enumeration date
02/17/2021
Last updated
08/02/2024
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