Individual
MICHAEL JOHNSON
Active
Individual
MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45509
AZ
207W00000X
Ophthalmology Physician
Primary
45509
AZ
208D00000X
General Practice Physician
45509
AZ
Other
Enumeration date
04/02/2016
Last updated
12/28/2021
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