Individual
DR. TIMOTHY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 N WYATT DR, SUITE 100, TUCSON, AZ 85712-6115
(520) 324-8621
(520) 324-3935
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4780
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45028
AZ
207R00000X
Internal Medicine Physician
R70572
AZ
208M00000X
Hospitalist Physician
45028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673142
—
AZ
Enumeration date
07/17/2008
Last updated
06/26/2019
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