Individual
JOSHUA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1190 E OLIVINE WAY, FLAGSTAFF, AZ 86001-3344
(928) 523-0272
Mailing address
PO BOX 15400, FLAGSTAFF, AZ 86011-0556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1110
AZ
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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