Doctor Name: | DAVID HOWARD JOHNSON |
NPI Number: | 1174597058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4143 |
Business Practice Address: | 925 Ironwood Drive Suite 2103 Minden, NV - 894235180 |
Business Phone Number: | 7754457885 |
Business Fax Number: | 7757839550 |
Mailing Address: | 2874 N. Carson Street, Suite 200 CARSON CITY |
State: | NV |
Postal Code: | 897061682 |
Phone Number: | 7752833096 |
Fax Number: | 7752833096 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4143 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |