Individual
DR. PHILIP H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 604-6900
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 978-2623
(501) 777-3519
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R1909
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104348001
—
AR
Enumeration date
08/18/2005
Last updated
01/11/2019
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