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Individual

MR. DAVID C JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, MUAC

Contact information

Practice address
5930 W GREENWAY RD STE 26, GLENDALE, AZ 85306-3291
(602) 765-9736
(602) 942-2106
Mailing address
4410 W UNION HILLS DR STE 7, 309, GLENDALE, AZ 85308-1656
(602) 765-9736
(602) 942-2106

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5344
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0242661
AZ BLUE CROSS BLUE SHIELD
AZ
Enumeration date
01/03/2007
Last updated
08/01/2010
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