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Dr. Russell G Johnston, MD
Specialist in Manassas, Virginia
NPI 1790845493

Russell G Johnston is a Specialist based in Jeffersonton, VA. Russell G Johnston practices in Manassas, VA and has the professional credentials of MD. The NPI Number for Russell G Johnston is 1790845493 and holds a License No. 0101028362 (Virginia).

The current practice location address for Russell G Johnston is Prince William Hospital, Manassas, VA and can be reached out via phone at 703-379-8000. You can also correspond with Russell G Johnston through the mailing address at 17390 BERKSHIRE DR, JEFFERSONTON, VA - 22724-1702 (mailing address contact number: 540-937-3969).

Location: Prince William Hospital, Manassas, VA, 22724-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790845493
Provider Name
Russell G Johnston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Prince William Hospital, Manassas, VA, 22724-1702
Phone Number
703-379-8000
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5707200 05 VA
institution
Provider Business Practice Location Address Details
Address
Prince William Hospital
City
Manassas
State
Virginia
Zip
20011-4418
Phone Number
703-379-8000
Fax Number
person
Provider Business Mailing Address Details
Address
17390 Berkshire Dr
City
Jeffersonton
State
Virginia
Zip
22724-1702
Phone Number
540-937-3969
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101028362 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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