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Individual

PHILIP L JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7881
(928) 537-4375
Mailing address
PO BOX 52549, PHOENIX, AZ 85072-2549
(928) 535-6667
(928) 535-5561

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16267
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207979
AZ
Enumeration date
01/12/2006
Last updated
07/09/2007
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