Individual
STEPHEN LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W THUNDERBIRD RD, BANNER THUNDERBIRD SAMARITAN EMERGENCY DEPARTMENT, GLENDALE, AZ 85306-4622
(602) 588-5555
Mailing address
6410 W TETHER TRL, GLENDALE, AZ 85310-1008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20163
AZ
Other
Enumeration date
08/23/2006
Last updated
10/24/2007
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