Individual
BENJAMIN PATRICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-3222
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(817) 965-5528
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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