Organization
PROFESSIONAL NATURAL MEDICAL
Active
Other names
Professional Natural Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK JAMES JOHNSON NMD (PHYSICIAN)
(480) 322-8577
Entity
Organization
Contact information
Practice address
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258-5036
(480) 322-8577
Mailing address
NICKJOHNSON369021@OUTLOOK.COM, 1432 W. BIRCH RD, SAN TAN VALLEY, AZ 85140
(480) 322-8577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495858
—
AZ
Enumeration date
12/27/2019
Last updated
09/02/2020
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