Camron L Johnson Privitera D.O.

NPI 1003810862 - Pediatrics - 208000000X

NPI Details
NPI 1003810862
Gender Female
Enumeration Date 06/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
21 HIGHLAND AVE SE
STE 100
ROANOKE VA, 24013-2218, US
Phone (540) 344-9213
Fax (540) 345-7559
Business Location
21 HIGHLAND AVE SE
STE 100
ROANOKE VA, 24013-2218, US
Phone (540) 344-9213
Fax (540) 345-7559
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0102201592
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According to our database, Camron L Johnson Privitera D.O. NPI is 1003810862, taxonomy code is 208000000X and license number is 0102201592, license state is located at Virginia. Camron L Johnson Privitera D.O. physically located at 21 Highland Ave Se, Roanoke VA, 24013-2218. NPI Number Camron L Johnson Privitera D.O. has the Individual type.

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1003810862 NPI number is provided on an as is basis without warranty of any kind. 1003810862 is maintained by the National Plan & Provider Enumeration System. The contents of Camron L Johnson Privitera D.O. are for informational purposes only.