Individual
DR. MYSTIE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9305 W THOMAS RD, STE 155, PHOENIX, AZ 85037-3328
(623) 936-1780
(623) 936-9116
Mailing address
9305 W THOMAS RD, STE 155, PHOENIX, AZ 85037-3328
(623) 936-1780
(623) 936-9116
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
27778
AZ
207VX0000X
Obstetrics Physician
27778
AZ
Other
Enumeration date
06/14/2005
Last updated
01/20/2011
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