Individual
JOHN BROCK JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5425 E BELL RD STE 150, SCOTTSDALE, AZ 85254-6010
(602) 493-9800
Mailing address
34406 N 27TH DR STE 139, PHOENIX, AZ 85085-7733
(623) 440-8491
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8360
AZ
Other
Enumeration date
06/17/2014
Last updated
09/14/2020
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