Individual
DARREN KEITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
3015 HIGHWAY 95 STE 106, BULLHEAD CITY, AZ 86442-4334
(928) 201-0881
(928) 763-2230
Mailing address
601 EL DORADO ST, KINGMAN, AZ 86401-6224
(928) 897-7468
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
AP11331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400262
—
AZ
Enumeration date
06/04/2018
Last updated
06/30/2022
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