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Devon Jacob Johnson, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1063079739

Devon Jacob Johnson is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Devon Jacob Johnson practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Devon Jacob Johnson is 1063079739 and holds a License No. (California).

The current practice location address for Devon Jacob Johnson is 200 W Arbor Dr # Mc8218, San Diego, CA and can be reached out via phone at 619-471-0283.

Location: 200 W Arbor Dr # Mc8218, San Diego, CA, 92103-1911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063079739
Provider Name
Devon Jacob Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr # Mc8218, San Diego, CA, 92103-1911
Phone Number
619-471-0283
Fax Number
Provider Enumeration Date
05/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr # Mc8218
City
San Diego
State
California
Zip
92103-1911
Phone Number
619-471-0283
Fax Number
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr # Mc8218
City
San Diego
State
California
Zip
92103-1911
Phone Number
619-471-0283
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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