Most Relevant Information
Provider Data
| NPI Number: | 1003816471 |
| Provider Name: | DOUGLAS W JOHNSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 50-00-0344 |
Most Important Dates
| Enumeration Date: | 07/28/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1 ELIZABETH PL
4TH FLOOR
DAYTON
OH
454081445
Practice Location Phone/Fax
| Phone: | 9372217001 |
| Fax: | 9372245307 |
Provider Mailing Location
3995 WILLOW RUN DR
BEAVERCREEK
OH
454301552
Provider Mailing Phone/Fax
| Phone: | 9374297132 |
| Fax: | 9372245307 |