Individual provider · Type 1 NPI

Cody Reid Johnson

Student in an Organized Health Care Education/Training Program · Danville, PA

NPI number 1104241595 Active

Practice location

100 N Academy Ave
Danville, PA 17822-9800

Call (570) 271-6301 Map

Fax (570) 271-5976

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Diagnostic Radiology Physician 2085R0202XMD486964 (PA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104241595

Cody Reid Johnson's National Provider Identifier is 1104241595, issued on Feb 22, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danville, PA. The record was last updated on Jun 30, 2026.