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Organization

LINDA L. JOHNSON MD, LTD

Active
Other names
SMA Convenient Care
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA L JOHNSON (SMA PRESIDENT)
(702) 560-2886
Entity
Organization

Contact information

Practice address
300 E LAKE MEAD PKWY, HENDERSON, NV 89015-5576
(702) 560-2915
Mailing address
2720 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 560-2889
(702) 560-2928

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376838110
NV
Enumeration date
06/09/2011
Last updated
07/25/2012
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