Individual
DR. CHRISTOPHER REYNOLDS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RADIATION ONCOLOGY/CLINICAL, RICHMOND, VA 23298-5051
(804) 828-7238
(804) 828-6042
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101038926
VA
2085R0001X
Radiation Oncology Physician
Primary
0101038926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00418302
RAILROAD MEDICARE
VA
Enumeration date
06/30/2006
Last updated
01/23/2008
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