Gid Roger Johnson, M.D.

NPI #1639207574 in Longview, Texas

Provider Information

NPI Number: 1639207574
Entity Type: Individual
Name: Gid Roger Johnson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Mar 1, 2007
Last Updated: Dec 16, 2008

Practice Location

Address: 1608 SWEETBRIAR ST
City: Longview
State: Texas
ZIP Code: 75604-2654
Phone: (903) 297-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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