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Individual

DONALD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 W MCCREIGHT AVE, SUITE 209, SPRINGFIELD, OH 45504-1842
(937) 399-6922
(937) 399-2270
Mailing address
30 W MCCREIGHT AVE, SUITE 209, SPRINGFIELD, OH 45504-1842
(937) 399-6922
(937) 399-2270

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35.059928
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0787779
OH
Enumeration date
06/29/2006
Last updated
10/16/2012
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