Individual
DR. JOHNATHON R MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 W STATE ROUTE 89A, SEDONA, AZ 86336-4937
(928) 204-4100
(928) 204-4115
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52306
AZ
207P00000X
Emergency Medicine Physician
ME 113250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998225
—
AL
01
—
051529486
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/16/2006
Last updated
04/16/2021
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