Individual
DR. GAYLEN S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10715 DOWNSVILLE PIKE, SUITE 100, HAGERSTOWN, MD 21740-7240
(240) 313-9910
(240) 313-9915
Mailing address
10715 DOWNSVILLE PIKE, SUITE 100, HAGERSTOWN, MD 21740-7240
(240) 313-9910
(240) 313-9915
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
D54711
MD
2083X0100X
Occupational Medicine Physician
Primary
D54711
MD
Other
Enumeration date
07/13/2006
Last updated
12/31/2013
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