Individual
DR. SCOTT MARK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, HB6, CLEVELAND, OH 44195
(216) 444-2200
Mailing address
9500 EUCLID AVE, HB6, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201188
PA
2085R0202X
Diagnostic Radiology Physician
Primary
10112241-1205
UT
Other
Enumeration date
04/23/2012
Last updated
06/14/2018
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