Individual
GLENN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 CANAL ST, NEW ORLEANS, LA 70119-6302
(504) 821-8158
(504) 821-8158
Mailing address
2820 CANAL ST, NEW ORLEANS, LA 70119-6302
(504) 821-8158
(504) 821-8158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
014753
LA
207RC0000X
Cardiovascular Disease Physician
Primary
014753
LA
Other
Enumeration date
07/08/2005
Last updated
03/06/2019
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