Most Relevant Information
Provider Data
| NPI Number: | 1003810862 |
| Provider Name: | CAMRON L JOHNSON PRIVITERA D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 0102201592 |
Most Important Dates
| Enumeration Date: | 06/09/2005 |
| Last Updated: | 11/17/2020 |
Provider Practice Location
21 HIGHLAND AVE SE
STE 100
ROANOKE
VA
240132218
Practice Location Phone/Fax
| Phone: | 5403449213 |
| Fax: | 5403457559 |
Provider Mailing Location
21 HIGHLAND AVE SE
STE 100
ROANOKE
VA
240132218
Provider Mailing Phone/Fax
| Phone: | 5403449213 |
| Fax: | 5403457559 |
Suggested EMR
Pediatrics EMR