Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL JOHNSON
ActiveMR. RUSSELL JOHNSON is a Specialist healthcare provider located in PETERSBURG, Virginia. NPI 1447205554 is currently active in the NPPES registry. Verify at CMS.
Specialist · PETERSBURG, VA
Registration Details
- NPI Number
- 1447205554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2006 (20.221587986565 yrs)
- Last Updated
- Jul 7, 2016
- License
-
0101045410 (VA)
Practice Information
- Address
-
601 OLD WAGNER RDSUITE 101PETERSBURG, VA, 238059313Browse VA providers · Browse ZIP 23805
- Phone
- 8045242260
- Fax
- 8045240096
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK F SHIEH | MD | 1023086915 |
| TIFFANY FREER | — | 1235816109 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.