David A Johnson Md Inc | |
915 Mountain St Carson City NV 89703-3819 | |
(775) 515-0022 | |
(775) 515-0044 |
Full Name | David A Johnson Md Inc |
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Speciality | Family Medicine |
Location | 915 Mountain St, Carson City, Nevada |
Authorized Official Name and Position | David A Johnson (PHYSICIAN/OWNER) |
Authorized Official Contact | 7755150022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David A Johnson Md Inc 915 Mountain St Carson City NV 89703-3819 Ph: (775) 515-0022 | David A Johnson Md Inc 915 Mountain St Carson City NV 89703-3819 Ph: (775) 515-0022 |
NPI Number | 1487391264 |
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Provider Enumeration Date | 05/13/2022 |
Last Update Date | 05/13/2022 |
Medicare PECOS PAC ID | 2062895485 |
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Medicare Enrollment ID | O20220818000310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487391264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David A Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568596229 PECOS PAC ID: 8527147917 Enrollment ID: I20080904000374 |
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