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Dallin Jay Johansen, DO
Student in an Organized Health Care Education/Training Program in Durham, North Carolina
NPI 1831686740

Dallin Jay Johansen is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Dallin Jay Johansen practices in Durham, NC and has the professional credentials of DO. The NPI Number for Dallin Jay Johansen is 1831686740 and holds a License No. 2023-00301 (North Carolina).

The current practice location address for Dallin Jay Johansen is 2301 Erwin Rd, Durham, NC and can be reached out via phone at 919-684-8111.

Location: 2301 Erwin Rd, Durham, NC, 28263-3362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831686740
Provider Name
Dallin Jay Johansen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2301 Erwin Rd, Durham, NC, 28263-3362
Phone Number
919-684-8111
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2301 Erwin Rd
City
Durham
State
North Carolina
Zip
27705-4699
Phone Number
919-684-8111
Fax Number
person
Provider Business Mailing Address Details
Address
2301 Erwin Rd
City
Durham
State
North Carolina
Zip
27705-4699
Phone Number
919-684-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2023-00301 (North Carolina)
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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