Individual
MATTHEW SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S CLIFF AVE STE 700, SIOUX FALLS, SD 57105-1019
(605) 322-7200
Mailing address
1301 S CLIFF AVE STE 700, SIOUX FALLS, SD 57105-1019
(605) 322-7200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.133111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291746
—
OH
Enumeration date
06/25/2013
Last updated
05/13/2021
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