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1790845493
RUSSELL G JOHNSTON
MANASSAS, VA
NPI
1790845493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: VA 0101028362)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL G JOHNSTON M.D.
PRINCE WILLIAM HOSPITAL 8700 SUDLEY ROAD
MANASSAS, VA 20011-4418
Phone number: 703-379-8000
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Mailing Address
Dr. RUSSELL G JOHNSTON M.D.
17390 BERKSHIRE DR
JEFFERSONTON, VA 22724-1702
Phone number: 540-937-3969
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