Individual
DR. JOSEPH CLARKE JOHNSONWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(703) 585-9133
Mailing address
2404 WILLIAM AND MARY DR, ALEXANDRIA, VA 22308-1554
(703) 585-9133
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
023992
LA
Other
Enumeration date
02/08/2006
Last updated
07/30/2015
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