Doctor Name: | STEPHEN A JOHNSON |
NPI Number: | 1003178682 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MT201462 |
Business Practice Address: | 200 Lothrop St Suite B-400 Pittsburgh, PA - 152132536 |
Business Phone Number: | 4126476777 |
Business Fax Number: | 4126476483 |
Mailing Address: | 200 Lothrop St, Suite B-400 PITTSBURGH |
State: | PA |
Postal Code: | 152132536 |
Phone Number: | 4126476777 |
Fax Number: | 4126476483 |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT201462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |