Individual
JOSHUA MICHAEL JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
Mailing address
3404 W RED BIRD CT, TUCSON, AZ 85745-5112
(229) 630-4756
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R73260
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R73260
RESIDENCY TRAINING LICENSE
AZ
Enumeration date
07/04/2012
Last updated
04/20/2020
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