Organization
MATHEW S JOHNSON MD PLLC
Active
Other names
Matthew Johnson MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOHNSON MD (OWNER/PROVIDER)
(702) 719-9059
Entity
Organization
Contact information
Practice address
2578 CAYENNE LN, SHALIMAR, FL 32579-1268
(520) 409-8320
Mailing address
2578 CAYENNE LN, SHALIMAR, FL 32579-1268
(520) 409-8320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
01/31/2025
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