Individual
PAUL J JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3160 PARISA DR, PADUCAH, KY 42003-4514
(270) 444-0878
(270) 444-6252
Mailing address
PO BOX 139, EVANSVILLE, IN 47701-0139
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28101
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64281017
—
KY
Enumeration date
09/26/2005
Last updated
07/08/2007
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