Individual
MATTHEW J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N UNIVERSITY AVE STE 203, LITTLE ROCK, AR 72205-2936
(501) 664-2434
Mailing address
701 N UNIVERSITY AVE STE 203, LITTLE ROCK, AR 72205-2936
(501) 224-1690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32313
WI
208600000X
Surgery Physician
Primary
T202477
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31725500
—
WI
Enumeration date
09/20/2006
Last updated
03/04/2025
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