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NPI Profile for DEREK K JOHNSON in FAIRFAX, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Allergy/Immunology |
2080P0201X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1285622183 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 10/13/2005 | |
| Last updated | 02/27/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEREK K JOHNSON
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DEREK K JOHNSON, MD