Individual
DR. CURTIS A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4610 SOUTH 44TH PLACE, PHOENIX, AZ 85040-4010
(602) 464-7500
Mailing address
6655 NORTH MACARTHUR BLVD., 3RD FLOOR, IRVING, TX 75039-2443
(602) 464-7500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35236
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001352369
—
CT
01
—
032344
HEALTHNET#
CT
01
—
061344026
OXFORD HEALTH#
CT
01
—
500HBL160CT01
BLUE CARE FAMILY PLAN
CT
01
—
744026
CONNECTICARE#
CT
01
—
C009155
CHAMPUS/TRICARE#
CT
Enumeration date
07/12/2006
Last updated
12/03/2012
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