Individual
ALBERT ANDREW JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 512-3638
(480) 512-8729
Mailing address
3537 E THUNDERHEART TRL, GILBERT, AZ 85297-7732
(480) 512-3638
(480) 512-8729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0046
AZ
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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