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Individual

DR. STEVEN B JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 N 12TH ST FL 1, PHOENIX, AZ 85006-2837
(602) 521-5968
(602) 521-5988
Mailing address
1441 N 12TH ST FL 1, PHOENIX, AZ 85006-2837
(602) 521-5968
(602) 521-5988

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0057842
MD
208600000X
Surgery Physician
Primary
D0057842
MD
2086S0102X
Surgical Critical Care Physician
D0057842
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
777100200
MD
Enumeration date
02/09/2006
Last updated
12/14/2017
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