Individual
COLLIN D JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1520 S DOBSON RD STE 202, MESA, AZ 85202-4726
(480) 725-7241
Mailing address
4077 E CULLUMBER ST, GILBERT, AZ 85234-0719
(702) 803-4539
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
928
AZ
207Q00000X
Family Medicine Physician
011209
AZ
2086S0129X
Vascular Surgery Physician
011209
AZ
Other
Enumeration date
04/21/2009
Last updated
02/27/2025
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