Individual
NATHANIEL REAGOR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2746 N WARREN AVE, TUCSON, AZ 85719-3142
(505) 264-9790
(520) 626-2480
Mailing address
2746 N WARREN AVE, TUCSON, AZ 85719-3142
(505) 264-9790
(520) 626-2480
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
80809
AZ
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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