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1184610461
STAN MICHAEL JOHNSON
PIKEVILLE, KY
NPI
1184610461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 39306)
Enumeration Date
2005-09-22
Last Update Date
2024-08-13
Business Address
STAN MICHAEL JOHNSON M.D.
238 CASSIDY BLVD
PIKEVILLE, KY 41501-1426
Phone number: 606-430-2230
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Mailing Address
STAN MICHAEL JOHNSON M.D.
PO BOX 432
PIKEVILLE, KY 41502-0432
Phone number: 606-430-3500
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