Individual
MR. JOSEPH MATTHEW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3720 W WHITEHAWK LN, ANTHEM, AZ 85086-2794
(480) 221-6350
(623) 322-3166
Mailing address
3720 W WHITEHAWK LN, ANTHEM, AZ 85086-2794
(480) 221-6350
(623) 322-3166
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10826
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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