Mr. Russell Johnson
Mr. Russell Johnson is a Specialist in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
Practice location Address checks out
601 Old Wagner Rd Ste 101Petersburg, VA 23805-9313
Phone: (804) 524-2260
Fax: (804) 524-0096
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 0101045410 (VA) |
|---|
Record details
| NPI number | 1447205554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | July 7, 2016 |
| Mailing address | 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805-9313 |
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