Organization
SOUTHWEST SPORTS AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE JOHNSON (MD)
(520) 395-0512
Entity
Organization
Contact information
Practice address
7494 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 395-0512
(520) 505-4108
Mailing address
7494 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 395-0512
(520) 505-4108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34986
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347495
—
AZ
Enumeration date
04/14/2015
Last updated
08/30/2024
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