Individual
MR. DAVID LUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4239 FARNAM ST STE 409, OMAHA, NE 68131-2803
(402) 552-2500
(402) 552-2720
Mailing address
5016 S 173RD CIR, OMAHA, NE 68135-1415
(402) 895-6348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
199
NE
Other
Enumeration date
12/05/2005
Last updated
07/31/2009
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