person
Matthew Wallace Johnson, DO
Student in an Organized Health Care Education/Training Program in New Orleans, Louisiana
NPI 1225539182

Matthew Wallace Johnson is a Student in an Organized Health Care Education/Training Program based in New Orleans, LA. Matthew Wallace Johnson practices in New Orleans, LA and has the professional credentials of DO. The NPI Number for Matthew Wallace Johnson is 1225539182 and holds a License No. (Louisiana).

The current practice location address for Matthew Wallace Johnson is 1542 Tulane Ave # T4M2, New Orleans, LA and can be reached out via phone at 504-568-5600.

Location: 1542 Tulane Ave # T4M2, New Orleans, LA, 70112-2865
person
Provider Profile Details
NPI Number
1225539182
Provider Name
Matthew Wallace Johnson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1542 Tulane Ave # T4M2, New Orleans, LA, 70112-2865
Phone Number
504-568-5600
Fax Number
Provider Enumeration Date
02/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2524046 05 LA
institution
Provider Business Practice Location Address Details
Address
1542 Tulane Ave # T4M2
City
State
Zip
70112-2865
Phone Number
504-568-5600
Fax Number
person
Provider Business Mailing Address Details
Address
1542 Tulane Ave # T4M2
City
State
Zip
70112-2865
Phone Number
504-568-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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