NPI 1003166430
Rodrick D Johnson
Practice location
- Address
- 1941 S 42nd St STE 514, Omaha, NE 68105-2939
- Phone
- (402) 614-8444
- Fax
- (402) 614-8443
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003166430
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Sep 2012
- Record last updated
- 13 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.