Benjamin Daniel Johnson, D.O.
Internal Medicine in Middlebury, VT. Individual provider (NPI-1).
NPI number1699111237
StatusActive
Last updated in NPPESAug 3, 2023
Details
- NPI
- 1699111237
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Daniel Johnson
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2013
- Certification date
- Aug 3, 2023
- Last updated
- Aug 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 032.0134101 | VT | Yes |
| 207R00000X | Internal Medicine | A-1997-16 | NM | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
115 Porter DrMiddlebury, VT 05753-8629
Phone 802-388-4701
Mailing address
115 Porter DrMiddlebury, VT 05753-8629
Phone 802-388-4701
Other practice locations
Corner Of Routes N12 & N7
Fort Defiance, AZ 86504
Fort Defiance, AZ 86504
Phone 928-729-8000
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