Organization
PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRYSTAL DIAN JOHNSON M.D. (OWNER)
(501) 666-6100
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 515, LITTLE ROCK, AR 72205-5302
(501) 666-6100
(501) 666-6107
Mailing address
500 S UNIVERSITY AVE, SUITE 515, LITTLE ROCK, AR 72205-5302
(501) 666-6100
(501) 666-6107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04010017400
QUAL CHOICE
AR
05
—
150345001
—
AR
05
—
181136002
—
AR
Enumeration date
11/13/2008
Last updated
10/17/2014
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