Individual
JONATHAN ASHELY COLLIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2112 F ST NW STE 804, WASHINGTON, DC 20037-2760
(202) 861-2971
Mailing address
2112 F ST NW, WASHINGTON, DC 20037-2715
(202) 861-2971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0071192
MD
Other
Enumeration date
09/05/2008
Last updated
03/17/2018
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