DWAYNE JOHNSON MD PSC

LOUISVILLE, KY
NPI1689701542
Entity TypeOrganization
Authorized ContactDWAYNE EDWARD JOHNSON
President
502-458-2577
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: KY  28666)
Enumeration Date2007-02-27
Last Update Date2020-08-22
Business Address
DWAYNE JOHNSON MD PSC
2211 MEADOW DR
LOUISVILLE, KY 40218-1330
Phone number: 502-458-2577
Mailing Address
DWAYNE JOHNSON MD PSC
2211 MEADOW DR
LOUISVILLE, KY 40218-1330
Phone number: 502-458-2577
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