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Individual

MR. CHRISTOPHER CLARKE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1840 E BASELINE RD STE C2, TEMPE, AZ 85283-1528
(480) 751-3777
(480) 751-3779
Mailing address
1840 E BASELINE RD STE C2, TEMPE, AZ 85283-1528

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
9314
AZ

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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