Individual
MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
729 N OCOTILLO LN, GILBERT, AZ 85233-3707
(480) 326-6524
Mailing address
729 N OCOTILLO LN, GILBERT, AZ 85233-3707
(480) 326-6524
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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