# MILES M JOHNSON, M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Arkansas EMG Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194717462
- **Authorized official:** DR. MILES M JOHNSON MD (PRESIDENT/DOCTOR)
- **Authorized official phone:** (479) 251-8055

## Contact information

- **Practice address:** 2820 E MILLENNIUM PL, SUITE 1, FAYETTEVILLE, AR 72703-6514
- **Practice address phone:** (479) 251-8055
- **Mailing address:** PO BOX 9450, FAYETTEVILLE, AR 72703-0025
- **Mailing address phone:** (479) 251-8055
- **Mailing address fax:** (479) 251-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 06/14/2013