Organization
SOUTHWEST SPORTS AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE JOHNSON MD (PRESIDENT)
(520) 395-0512
Entity
Organization
Contact information
Practice address
5860 N LA CHOLLA BLVD STE 150, TUCSON, AZ 85741-3562
(520) 395-0512
(520) 505-4108
Mailing address
PO BOX 70232, TUCSON, AZ 85737-0030
(520) 395-0512
(520) 505-4108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498019
—
AZ
Enumeration date
12/11/2009
Last updated
07/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us