Individual
MR. MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 CHESTER MARICLE ROAD, PITKIN, LA 70656
(318) 419-5737
Mailing address
19 CHESTER MARICLE ROAD, PITKIN, LA 70656
(318) 419-5737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.208195
LA
Other
Enumeration date
03/27/2014
Last updated
08/01/2017
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