Individual
DR. JARROD D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
I15 EXIT 9 @ THE FIRESTATION, LITTLEFIELD, AZ 86432-0490
(928) 347-5971
(928) 347-5793
Mailing address
PO BOX 490, LITTLEFIELD, AZ 86432-0490
(928) 347-5971
(928) 347-5793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856940
—
AZ
Enumeration date
06/14/2005
Last updated
07/08/2007
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