Derrick Lynn Johnston M.D.

NPI 1184852709 - Urology - 208800000X

NPI Details
NPI 1184852709
Gender Male
Enumeration Date 06/23/2009
Last Updated 06/02/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
5166 E GLENN ST
TUCSON AZ, 85712-1337, US
Phone (520) 795-5338
Fax (520) 795-5382
Business Location
5166 E GLENN ST
TUCSON AZ, 85712-1337, US
Phone (520) 795-5338
Fax
Toxanomy
Taxonomy Code 208800000X
License State Georgia
License Number 003590
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According to our database, Derrick Lynn Johnston M.D. NPI is 1184852709, taxonomy code is 208800000X and license number is 003590, license state is located at Georgia. Derrick Lynn Johnston M.D. physically located at 5166 E Glenn St, Tucson AZ, 85712-1337. NPI Number Derrick Lynn Johnston M.D. has the Individual type.

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1184852709 NPI number is provided on an as is basis without warranty of any kind. 1184852709 is maintained by the National Plan & Provider Enumeration System. The contents of Derrick Lynn Johnston M.D. are for informational purposes only.