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1619143914
FREDERICK DWAYNE JOHNSON
LITTLE ROCK, AR
NPI
1619143914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TN 51504)
Enumeration Date
2008-05-06
Last Update Date
2016-06-10
Business Address
Dr. FREDERICK DWAYNE JOHNSON M.D.
5 WOODS CV
LITTLE ROCK, AR 72210-9108
Phone number: 501-348-5797
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Mailing Address
Dr. FREDERICK DWAYNE JOHNSON M.D.
5 WOODS CV
LITTLE ROCK, AR 72210-9108
Phone number:
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