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Derek K Johnson, MD
Pediatric Allergy/Immunology Physician in Fairfax, Virginia
NPI 1285622183

Derek K Johnson is a Pediatric Allergy/Immunology Physician based in Fairfax, VA and is specialized in Pediatric Allergy/Immunology. Derek K Johnson practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Derek K Johnson is 1285622183 and holds a License No. MD 065160L (Virginia).

The current practice location address for Derek K Johnson is 3903A Fair Ridge Dr, Fairfax, VA and can be reached out via phone at 703-648-0030 and via fax at 703-648-9028.

Location: 3903A Fair Ridge Dr, Fairfax, VA, 22033-2938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285622183
Provider Name
Derek K Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3903A Fair Ridge Dr, Fairfax, VA, 22033-2938
Phone Number
703-648-0030
Fax Number
703-648-9028
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018751530003 05 PA
institution
Provider Business Practice Location Address Details
Address
3903A Fair Ridge Dr
City
Fairfax
State
Virginia
Zip
22033-2938
Phone Number
703-648-0030
Fax Number
703-648-9028
person
Provider Business Mailing Address Details
Address
3903A Fair Ridge Dr
City
Fairfax
State
Virginia
Zip
22033-2938
Phone Number
703-648-0030
Fax Number
703-648-9028
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Allergy/Immunology
Taxonomy
2080P0201X
License No.
MD 065160L (Pennsylvania)
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
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