Thomas Edward Johnson, M.D.
Radiology, Diagnostic Radiology in San Diego, CA. Individual provider (NPI-1).
NPI number1245624436
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1245624436
- Entity type
- Individual (NPI-1)
- Name
- Thomas Edward Johnson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2015
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | A169018 | CA | Yes |
Practice location
200 W Arbor DrSan Diego, CA 92103-9000
Phone 800-926-8273
Mailing address
Po Box 232410San Diego, CA 92193-2410
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